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Donation
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Mandatory fields
Personal Information
Prefix
*
First name
*
Last name
Suffix
Organization
Contact Information
*
Email
*
Phone
*
Street 1
Street 2
*
City
*
State
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AR
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PA
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*
Zip/Postal Code
Donation Information
*
Amount ($USD)
Payment frequency
One-time
Monthly
Quarterly
Semi-annually
Annually
*
Donation Type
End of Year Appeal
Gift Membership
In Honor of
In Memory of
Scholarship: Adopt-A-Class
Scholarship: Sponsor a Camper
Other (please explain below)
*
Preferred form of donation acknowledgment
Via USPS
Via Email
Is this in response to our Annual Appeal Communications (Mailing, Social, Email, Website)?
Yes
No
If this is for a Gift Membership please provide the contact information for the recipient
Gift Membership packages are sent to the recipient unless otherwise specified above.
Please Include:
* First and Last Name
* Complete Mailing Address
* Phone number
* Email address
Please provide the contact information for donation made In Honor/In Memory
We will send a letter to the recipient of honor or family in memory of.
Please include:
* First and Last Name
* Complete Mailing Address
* Name of individual who passed (if in memory)
Please list any additional information (if applicable)