Today is October 19, 2017
 
 
 

Online Donation 

Once you fill out your donation in the Other Amount box or select an amount, click on the Submit button at the bottom of the form. This will open up a new window with PayPal. If you do not have a PayPal account, Click the Don’t have a PayPal account link at the bottom of the form. This link will open a new window that will allow you enter your credit card information and any additional information that may be required. Once you have completed this step click Pay. I believe it will also give you the option of creating a PayPal account. You can click No to close that out.

Thank you or your support.

Title
First Name*
Last Name*
Address
Address 2
City
State
Zip
Country
Email*
Phone
Fax
Amount of donation*
$25
$50
$100
$250
$500
$1000
Other Amount
I would like to make this donation One time Monthly Recurring
Comments
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