LLEA Donation Form

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USDThank you for your generous donation.

Donation Information

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Cardholder Address

Street Address

Street Address Line 2

City

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Postal / Zip Code

Country

Email
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Phone Number
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The Veterans Association of America is currently conducting a fundraiser.

Your kind and generous donation is greatly appreciated.

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Veterans Association of America