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Donations
 
Please fill out the entire form. When you press submit you will be directed to Paypal, a secure site that will complete the transaction. If you wish you can call the Chapter direct at 661/324-6427 and we can make the donation over the phone via credit card. Thank you for your Support!
 
Donation Form
Title:
First Name*
Last Name*
Organization
Address
Address 2
City
State
Country
Zip
Home Phone
Cell Phone
Fax
E-mail*
Amount of Donation*
(Format for "other" amount does not include dollar signs, commas, or decimal point.)
$20.00
$40.00
$60.00
$80.00
$100.00
Other 
Donation One time donation
I would like to make this a recurring monthly donation
Privacy Provide my name and e-mail address to the charity
I prefer to make this contribution anonymously
Designation (optional) To designate your donation for a specific purpose, please enter a description of how you'd like your donation to be used.
Dedication (optional) To make a donation in memory of another person, please enter the person's name
To make a donation in honor of another person, please enter the person's name
Questions/Comments

Enter in the Code exactly as you see it before clicking the 'Submit' button.
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