Donor Form

Thank you for your donation.

Please fill out the form, so we know how to honor you and where to send the TAX deduction letter.

You will then go to a page – cash donations up to $2000 can be done with donate Paypal button.

For in-kind donations – we will contact you.

* indicates required field

Name:*

Email:*

Company Name:*

Street Address:*

City:*

State:*

Zipcode:*

Contact Phone Number:*

Company Website:

Please list what you are donating and the value

Product/Service Description:*

List Name?*

List name on website and in program
List as anonymous

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