Pregnancy Aid Clinic Logo
An Evening for Life benefiting Pregnancy Aid Clinic
Donation Amount
$
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Other
One Seat
Two Seats
Half a Table (4 Seats)
You can add or donate any amount here:
Contact information
First Name
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Last Name
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Mobile Number
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4-Digit Card Verification Number
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CVV
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I would like to cover the payment processing fee.
Donor hereby approves the payment of the donation and/or purchase to Pregnancy Aid Clinic and in the amount set forth herein.
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Your gift is life-changing! Thank you!
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