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The Donation Levels below will appear in our Annual Report. Please be sure to let us know if you choose to remain anonymous.
Donation Levels 
  Level Range
    Visionary Circle 
$15,000 and up
$10,000 - $14,999
    Pacesetter Circle 
$5,000 - $9,999
    Sustainer Circle 
$2,500 - $4,999
    Leadership Circle 
$1,000 - $2,499
    Champion Circle 
$750 - $999
    Supporter Circle 
$500 - $749
    Friends Circle 
$250 - $499
* required information
Select Gift Frequency
I would like to make a one-time gift for the following amount:
:* $
I would like to make a recurring gift.
Gift Amount* # of Payments Payment Frequency Total Gift Amount
$ X = $
NOTE: Each payment, including the first payment, will be made on day 1 of the month based on the payment frequency you have indicated.
Donor Information
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
ZIP/Postal Code:*
Business Phone:
If honorarium or memorial, please include name and address of honored person, special designation or additional information:
If you would like to have your name acknowledged in publications, please enter your name as you would like it to appear:
Additional information you would like us to have in processing your gift:
Payment Information
Payment Method
:*   Explain
Credit Card Type:*
Credit Card Expiration:*
Billing Information
If the billing information is the same as the contact information check this box.
If not please fill out the information below:
Type the characters you see in the picture below:*
By clicking Submit,
your credit card will be processed


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