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2. This donation is being made by:

   1. An individual or family
   2. Business
4. Contanct Person's First Name
5. Last Name
7. Name of Business (if applicable)
9. Address1
11. Address2
13. City
14. State
15. Zip
17. Email Address
18. Phone Number
20. Donation Amount
21. Payment Method

    1. Credit Card
    2. I am mailing a check or money order
23. What name should be listed as the doner?
25. We sincerely thank you for your donation. We will followup with a letter for your records. Next, you will be taken to PayPal to process your donation.
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27. 1. Receive an email copy of this form.
28. Email address

    This field is not part of the form submission.

29. Submit Submit and Print

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