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2. Donation Type
   Donation- Medical Fund
3. Price*
   -- Select One --$10$15$20$25$50$75$100$150$200$250$300$350$400$450$500$600$750$1000$1500$2000$2500$3000$3500$4000$4500$5000

   Please select the amount you would like to donate

4. Quantity
5. Shipping Cost
7. Taxable
9. First Name*
10. Last Name*
12. Address1*
14. City*
15. State*
16. Zip*
18. Email*
19. Phone Number
21. Additional Info

    Please let us know if this donation is being made in honor or on behalf of someone.

22. Card Design (Optional)

    1. Spring- Cat
    2. Spring- Dog
    3. Winter- Cat
    4. Winter- Dog

    Please select a card design if you would like a greeting card sent to the person who you are honoring with this donation. (minimum $25 donation)

23. Personalized Message in Card (Optional)

    Please include a short personalized message if you would like that included in the card.

24. Name and Mailing Address of card recipient

      

Leave This Blank:


25. Calculate Totals Proceed to Checkout

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