Hertford Rotary NC Donation Form

Donation Form
Full Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code
Phone Number *
Email *
example@example.com
Donate to: *

The Rotary Foundation Hertford Rotary Club Foundation Polio Plus Open Door CART
Amount Donated *

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USD This is the amount that will be charged to you.
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