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Donation Form

To make a donation, please fill in the form below, then click the "Next" button. To erase everything you have typed, click the "Clear" button. Required items have boldface labels.

Thank you for your donation.

   

Type of donation. If you choose a type of donation other than "Ordinary", then when you click the "Next" button, additional items will appear below to fill in.




Information about you (the donor):
First name:
Last name: 
Address line 1:
Address line 2 (optional):
City: State:
Zip code: e.g., 12345 or 12345-6789
Telephone: e.g., 781-455-7559 (Required for payment by credit card.)
Email address: (Required for payment by credit card or your own PayPal account, or to join the Friends email list.)



Amount you are donating: $

Payment Method





Matching company name: