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Amount
*
$25
-
Individual Friend
$40
-
Couple of Friends
$50
-
Family Friend
$65
-
Partner
$100
-
Sustainer
$250
-
Patron
$500
-
Benefactor
$1,000
-
Guarantor
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
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