Gary Hickman Legacy Donation
Honoring a Life of Kindness, Humor, and Lasting Impact
One Time Donation Amount
*
$25
$50
$100
$500
$1000
Custom Amount
First Name
*
Middle Name/Initial
Last Name
*
Phone Number
*
Email
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Address
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Street Address
Street Address Line 2
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Would you like to make your donation anonymously?
No
Yes
Optionally add a 2.9% credit card processing fee?
Yes
No
Donation to Ventura Land Trust
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Description
Credit Card
Total Donation Amount
Total Donation Amount Number
Account Name
Contact Role
Donor
Campaign ID
Honoree Name
First Name
Middle Name
Last Name
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