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Grateful Patient Fund
Make a donation here. You can choose for proceeds to help members of our community aphasia group to pay for the cost of care or general equipment.
4
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1
Name
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First Name
Last Name
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2
Email
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example@example.com
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3
Please choose what your donation will go toward
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Community Aphasia Group
General Equipment
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4
Donation Amount
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( X )
25
USD
50
USD
100
USD
200
USD
Description
USD
+ OR enter a custom value
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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