Donation Form

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Gift Information

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Type

Gift Occasion

Please indicate below the person
who will receive a membership gift.

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First Name

Last Name

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Address 2

City

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Donor Information
* First Name
* Last Name
Company Name
* Address
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* City
* State/Province
* Zip/Postal Code
Home Phone
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* Email

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 Tip of the Mitt Watershed Council and I will donate $0.00. No. I will donate $0.00 and Tip of the Mitt Watershed Council will cover the processing costs.

Payment Information
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Expiration Date
* Security Code The 3 or 4 digit Security Code (CVV2) can be found on the back of your credit card. For American Express, the Security Code (CID) can be found on the front of the card.

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Same As Above
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