Federation Annual Campaign

Federation Annual Campaign Donation Form

Type of Donation*

One-Time Donation
Monthly Donations
Installments

Campaign Donation Amount*

Suggested Amounts

$54
$180
$360
$500
$1,000
Other Amount

Total

$0.00

Billing Information

Donor Title*

Donor Name*

Note: Tax receipt will be issued to the payer.

What prompted you to donate?*

Are you between the ages of 20 and 45?*

Is this a joint gift?*

Additional Instructions

Card Information

Name on Card*

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

Phone Number*

GivingFuel Fundraising Software

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