Donation Information
Amount
$2500 (Full Day LifeSpring Operations)
$1250 (1/2 Day LifeSpring Operations)
$175 (Ultrasound)
$150 (STI Testing)
$25 (Pregnancy Test)
Type of Donation
Recurring Donation
One Time Donation
Frequency
Monthly
Quarterly
Yearly
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Type of Tribute
In Memory Of
In Honor Of
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Campaign
General Gift
Baby Bottle Campaign
Sanctity of Human Life
Golf Tournament
Banquet
Walk for Life
Newsletter Appeal
Contact Information
First Name
Last Name
Company Name
Address
Address 2
City
State/Province
Alabama
Alaska
Alberta
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Armed Forces Americas
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Armed Forces Pacific
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Help Us Cover Costs
Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.
Yes! I want $0.00 to go to LifeSpring Pregnancy Centers and I will donate $0.00.
No. I will donate $0.00 and LifeSpring Pregnancy Centers will cover the processing costs.
Payment Information
Payment Options (select bank account /preferred or cc )
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Account Information
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Account Type
checking
savings
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Billing Address
Same As Above
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Manitoba
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Massachusetts
Michigan
Minnesota
Mississippi
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Montana
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Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Puerto Rico
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Yukon
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Email
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