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Gift Amount
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$25
$50
$100
$500
$1,000
$
Is this a one-time or recurring donation?
One Time
Monthly
Quarterly
Annually
I would like my donation to go towards:
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Area of Greatest Need
Emergency Loan Fund
Lents Youth Initiative
Recurring End Date (For Recurring Donations only)
Please select the date of your FINAL RECURRING DONATION, or Leave blank if you do not wish to set an end date at this point (you can contact ROSE at anytime to do so).
Is this donation from you or your company?
Individual gift
Corporate gift
Is this gift in honor of someone?
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No
Yes - In Honor of
Yes - In Memory of
Name of the person you are dedicating this gift to:
Contact Information
Your Name
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First Name
Last Name
Organization/Employer
Email Address
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Address
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country