Individual Donations

Please complete the form below and click on the "Submit" to make your tax-deductible donation.  If you have trouble contributing online, please call (267) 740-2090 X 115. 

To submit this form, all "*" fields must be filled in.

Friend - $50

Supporter - $250

Advocate - $500

Angel - $1,000

Crystal Patron - $3,000

Other $

Salutation Capt. Commissioner Congressman Deacon Dr. Dr. and Mrs. Drs. Gen. Governor Hon. Maestro Mayor Miss Mr. Mr. and Mrs. Mr. and Ms. Mrs. Ms. Mx. Pastor Prof. Rabbi Representative Rev. Reverend Senator Sister State Rep.

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Notes

Payment Info

My company will match my gift

Companies that match gifts include Johnson & Johnson, Bank of America, Merck and more. Inquire with staff for more information.

Acknowledgement

For all donations, please list your name(s) as you would like it to appear in our program listings (separated by commas)

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Dedication Information (Optional)

Dedication Type in honor in memory on behalf

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Personal note to be included with donation

Dedication Acknowledgment Information

Acknowledge by Email Mail None

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