One-Time Donation Website REV 04/22

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Please consider increasing your impact by covering the 3.5% transaction fee.*

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Name*

First NameLast Name
Company Name: for COMPANY donations only
E-mail*
Phone Number*

Area CodePhone Number
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
How did you hear about Corazon de Vida?*
Contact Name. First & Last*
Please explain*
Are you making this donation in honor or in memory of a loved one?*

In HonorIn MemoryNo
Enter recipient's name
Would you like us to send an e-card? (enter recipient's email address)
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Would you consider becoming a monthly sponsor? Your monthly giving provides stability of support for the children!
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