DONATE TO FireFLAG/EMS
FireFLAG/EMS a registered 501(c)(3) non-profit organization
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Email:
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example@example.com
Please select your pledge level:
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Pledge Level 1
$
25.00
Pledge Level 2
$
50.00
Pledge Level 3
$
100.00
Pledge Level 4
$
250.00
Pledge Level 5
$
500.00
Pledge Level 6
$
1,000.00
Other amount
Select this option if you would like to donate an amount of your choosing.
$
Free
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Free
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Would you like to make this donation in honor or in memory of someone else?
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Honoree Name
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Honoree Address
Street Address
Street Address Line 2
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Your message will be sent to your honoree:
Your Pledge Gift
As a show of our appreciation for your generous pledge, please accept the FireFLAG/EMS gift package featured below:
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Please enter your shipping address to receive your pledge gift:
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Would you like to receive an invoice for your donation?
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Which name and address would you like us to use on the invoice?
Same as above
Different name and address
Name
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Address
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A copy of your invoice will be sent to both the email address and shipping address you provided.
Special Requests
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