KSQ Juneteenth Fund Donation Form

Donation to Kennett Square Juneteenth Fund
Your Name*

First NameLast Name
E-mail*
Organization
Phone Number*

Area CodePhone Number
Donation Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Donation Amount*

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USDDescription
Comment/Note
Please upload organization's logo

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Payment Methods

Debit or Credit Card

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