Donation Form
60 Deer Track Ln Dover, DE 19904
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
E-mail
Select a Donation Type
One Time Donation
Recurring Donation
Recurring Donation
Donation preferenced for:
My Products
prev
next
( X )
Weekly
(
$
100.00
for the
first week
then,
USD
for each
week
)
Monthly
(
$
500.00
for the
first month
then,
USD
for each
month
)
Monthly 2
(
$
250.00
for the
first month
then,
USD
for each
month
)
Total
$
0.00
Submit
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