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Online Donations - Secure Donation Form

Campaign/Fund Information
Campaign/Fund * $30 for 30 Campaign
or Select a Different Fund
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Donation Information
Donation Amount *

OTHER: $ 
NOTE:
The minimum donation amount is $30.00
Payment Method * Credit Card
Donation Type *


Number of Payments *  
Donation allocation
Please provide how you would like your donation split between the two causes listed. 1 - Subsidies to Hermanas to offset the costs of attending 30th Anniversary 2 - Funds for our Proyecto H.A.C.E.R. book scholarships (to be given at Anniversary)
Donor Comments
Donor Information
First Name *
Middle Name
Last Name *
Suffix
Organization
Email *
Address *
Address Cont.
City/Town *
Country *
Location
Postal Code*
Phone *
Billing Information
[ Click here if billing address is the same as donor address ]
 *  
Organization 
Address *
Address Cont.
City/Town *
Country *
Location
Postal Code*
Billing Phone *