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Capital Campaign Donation Form
Your Contact Information
We value the privacy of our donors and never sell or rent donor information.
Name
*
First Name
Last Name
Organization/ Business Name
Phone
*
Email
*
Verify Email
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Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Donation Details
Amount
*
$1,000
$500
$250
$100
$75
$50
$25
$
Is this a one time gift, or would you like to support us monthly?
One Time
Monthly
Quarterly
Continue donating until
(mm/dd/yyyy)
This gift is anonymous.
Yes, I want my gift to be anonymous
My Employer Will Match My Gift
Please send company match details to executivedirector@bethelareafoodpantry.org
Yes
Is this a tribute gift?
No
Yes, an honorary gift
Yes, a memorial gift
This gift is made in honor or in memory of:
First Name
Last Name
Newsletter
Yes! Please add me to the newsletter mailing list
Add 3% to my total amount to help cover the payment processing fees