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Wakamatsu Donation Amount
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: This transaction will count as the first payment toward your total gift amount.
Donor Information
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
ZIP/Postal Code:*
Payment Information
Payment Method
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Credit Card Type:*
Credit Card Expiration:*
Billing Information
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Donation Instructions
Special Instructions:
Optional Items
I am interested in:    Check/Uncheck All Select all in category 
Becoming a member
Volunteering for ARC
Having you contact me by phone
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