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Donation Form

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Donation Information

I would like to make a donation in the amount of:

$100$50$10Other

Other:

Tribute Gift

Check here to donate in honor or memory of someone

Check here if this is a memorial gift

Honoree:

Send acknowledgement via email

Send acknowledgement via postal mail

Email Name:

Email:

Name:

Address:

City:

State :

Province:

Country:

Post Code:

Donor Information

First Name:

Last Name:

Email:

Please do not display my name.

Add me to your mailing list

Donor Address

Address:

Address 2:

City:

State :

Province:

Country:

Post Code:

I am a UK taxpayer and my gift qualifies for Gift Aid.

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NeighborhoodCare Foundation is a division of CrossBreeze Charities,
a tax-exempt charitable organization under Section 501(c)(3)
of the Internal Revenue Code.
Donations are tax-deductible as allowed by law.

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