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Credit Card Fee Donation (3.5%)

The Credit Card Fee Donation is used to offset the credit card processing fees incurred by our organization. Your order total will appear on the next screen.

Your Information

*First Name

*Last Name

*Email Address

Shipping

Shipping Address

Name

Street

City

State

Zip

Additional Information

My Company will match this donation (include company name below).

Company Name

Would you like to assign credit for this donation to a specific member? (include name below)

Member Name

Would you like us to acknowledge your donation in honor or in memory of someone special? If so, please provide their name and any message you'd like us to include in the acknowledgment

*Donor Name

*Donor Email Address

Donor Phone Number

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