Veterans Day

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DONATION TYPE AND AMOUNT

Select a One-time or a Recurring Monthly donation type and then select the donation amount.

Dedicate your donation to that special Veteran!

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Other Amount

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USD

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Campaign

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I would like to dedicate my donation in honor or in memory of my special Veteran.

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Type

Honor

Memory

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Name of Veteran

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I would like to send an acknowledgment to someone.

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Acknowledgee is the Veteran

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Name of Person Receiving Acknowledgement

If Acknowledgee is the same as the Veteran, check box above.

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Email to send Acknowledgement *

This may go to the Veteran, to a family member, or to yourself to forward.

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Donor Note

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DONOR INFORMATION

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First Name *

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Last Name *

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Submit as a company

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Company / Chapter Name

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Email

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Mobile Phone

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Address Line 1

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Address Line 2

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City

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State/Province

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Zip/Postal Code

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Country

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Payment Details

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Card

ACH

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or enter your card details below

Cardholder First Name *

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Cardholder Last Name *

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Cardholder Email

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Card *

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Billing address is the same as mailing address

Address Line 1

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Address Line 2

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City

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State/Province

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Zip *

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Country

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Amount:

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Secure Payment

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Raised

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Donors

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Registrants

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Celebrate and Honor our Veterans

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ACH Payment Confirmation

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