Full Name

Email

Phone

City, State

Donation Options Purchase school supplies for one child: $20 Purchase a back pack and school supplies: $50 Send a child to summer camp: $200 Adopt a family to purchase Christmas gifts: $500 Purchase a refrigerator for a family: $700 Purchase furniture for family's first apartment: $2,500 Purchase food to feed families for a year: $5,000 Contribute toward the purchase of a van to transport children: $30,000

Other Amount

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Card number

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Name on Card

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