Square Charity Donation Form

1
Full Name* This field is required.
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2
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3
Address
Street Address
Street Address Line 2
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Afghanistan
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Libya
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Malaysia
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Mali
Malta
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Martinique
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Mayotte
Mexico
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Moldova
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Mongolia
Montenegro
Montserrat
Morocco
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Namibia
Nauru
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Netherlands
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Nigeria
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Panama
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Poland
Portugal
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Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
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Samoa
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eSwatini
Sweden
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Other
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4
Phone Number* This field is required.
Area Code
Phone Number
5
DonationsPlease select the amount you are able to give to help SGDC grow!
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50.00
USD
100.00
USD
500
USD
1000
USD
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First Name
Last Name
6
MessagePlease share with us what inspires you about dance or our company. Is there a specific project you would like to fund?
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