South Park Senior Citizens
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Donate now to grow our community!
Amount
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$1,000
$500
$300
$150
$75
$50
$25
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Contact Information
Name
*
First Name
Last Name
I am donating as:
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An Individual
On behalf of an organization or company
Organization/Company
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The name of the donating organization or company.
Spouse/Partner
The first and last name of your spouse or partner.
Email
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Phone
Address
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Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Is this gift in honor of or in memory of someone?
In Honor
In Memory
In Memory Of
First Name
Last Name
In Honor Of
First Name
Last Name
Send notification?
Please send an acknowledgement to the person I am dedicating my gift to.
Send notification to
First Name
Last Name
Email of person to be notified
Verify Email
Mailing Address of person to be notified.
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Add 3% to my total amount to help cover the payment processing fees