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  Noel Acadien au Village

Donations
 
If you would like to donate to Acadian Village, please complete the form below. Once you submit the form, you will be directed to Pay Pal, the exclusive secure donation site for Acadian Village. You may log in using your Pay Pal account or log in as a guest. If you wish to mail a check in, do not complete the below form and simply mail in your donation to Acadian Village, 200 Greenleaf Dr., Lafayette, LA 70506. 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.)
$10.00
$25.00
$50.00
$500.00
$1000.00
$1500.00
$2000.00
$2500.00
$3500.00
$5000.00
$7500.00
$10000.00
$15000.00
Other 
I would like this donation to be used for
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.
*Indicates required field
 
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