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You are here: Home » Test Donations Form

Test Donations Form

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Areyvut is able to bring innovative, engaging programs to local youth thanks to the generosity of our donors. Help support Areyvut's vision by making a tax-deductible donation today.

Donation Information

Donation Amount*

Would you like to make this a recurring donation?*

Yes

Number of Days you would like to be charged:*

Type of Tribute

In honor of

In memory of

Other

Tribute Name:

Would you like to send a notice to the honoree?

Yes

How would you like them to be notified?

By postal mail

By email

Acknowledgement Address

Street Address City State ZIP Code

Acknowledgement Email

Would you like to receive a confirmation letter by mail?*

Yes

Please direct my donation toward:*

Please write in what you would like to fund:

What would you like to sponsor?

Select a Day

MM slash DD slash YYYY

What 3 days?

What week?

Select a Month

Which honoree are you giving for?

Names of those attending:

Billing Information

Billing Name*

First Last

Billing Address*

Street Address Address Line 2 City State ZIP Code

Billing Email*

Billing Phone*

Payment Information

Would you like to add an amount to cover the credit card convenience fee?

Yes - let me add a 3% contribution

Additional contribution to cover the credit card convenience fee

Price: $0.00

Total

Credit Card

American Express

Discover

MasterCard

Visa

Supported Credit Cards: American Express, Discover, MasterCard, Visa

Card Number

Expiration Date Month Year

Security Code Cardholder Name (Please use the exact name that appears on the card)

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