Welcome to our Online Donation Form
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Gift Information
Amount:
Tribute (Optional)
To make this gift a tribute (in memory or in honor), complete the fields below.
Tribute Type:
In Honor of
In Memory of
First Name of Person Remembered
Last Name of Person Remembered
Send Acknowledgement To:
(include name and address)
* Required Fields
Donor Information
*
Type of Donation
*Required
Annual Campaign
Membership
Individual
Company
Foundation
*
First Name
*Required
*
Last Name
*Required
*
Address
*Required
*
City
*Required
*
State
*Required
*
Zip
*Required
Home Phone
*
Email
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My company will
match this gift
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No
* Required Fields
Credit Card Information
*
Name on Card
*Required
Card Type
Visa
MasterCard
Discover
AmEx
Card Account Number
Expiration Date (MMYY)
01
02
03
04
05
06
07
08
09
10
11
12
24
25
26
27
28
29
30
31
32
33
34
*
Security Code
Click
here
for CVV2 information
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.
Close
*Required
Transaction Amount
Credit Card Billing Address
Same as above
*
Address
*Required
City
State
*
Zip
*Required
San Mateo County Historical Association
2200 Broadway Street
Redwood City, CA94063
650.299.0104
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