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Donation Information

How much would you like to donate?

$10.00perk-1

$25.00perk-2

$50.00perk-3

$100.00perk-4

Would you like to donate this to a specific campaign?

First Name *

Last Name *

Address

Country

City

Email *

If you would like to make an offline donation, you can send a check to the following address:

    HelpMe Charity
    1234 Example Street
    Los Angeles, CA 90049

Thank you for your generous donation.