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1. Amount

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2. Your information

Email

First Name

Last Name

Country

Billing Address

City

Postal code

Phone

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Employer

Occupation

Law requires we ask for your employer and occupation. If you don't have an employer or are retired, put N/A, and if you are self-employed put "self-employed" in employer and describe your occupation.

Contributions are not tax deductible.

3. Payment information

Credit Card

Contribution rules This contribution is made from my own funds, and with my own personal credit card and not with a corporate or business credit card or a card issued to another person. I confirm that the above statements are true and accurate. Don't publish my donation on the website.

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