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Timestamp
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Year
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Month
Day
Date
What would you like to donate to the soldiers?
General Support (type amount here)
How much would you like to donate to the soldiers?
*
What would you like to donate to the Sheroes?
*
Dinner - $25
Box for the kids - $75
Therapy session / House cleaning - $100
Shabbat in a box / Self care package - $125
Coffee machine - $150
Therapy for a month - $400
Full package - $1100
General Support (type amount here)
Your Name
*
First Name
Last Name
Your Email Address
*
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Amount
Total to Pay
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USD
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