Day: 14 April 2018

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Francis Henderson

MATCHING GIFT FORM

For all gifts and donations, direct or matching, the organization receiving the gift must be a recognized charitable organization, recognized by IRS as a registered 501(c)(3) charitable organization. Most charities will list this info on their website.

Email(Required)

Provide a copy of your donation receipt(Required)

Accepted file types: jpg, png, pdf, Max. file size: 256 MB.

Is the organization a registered 501(c)(3)?(Required)

Yes

No. Sorry, a matching gift can not be made

Date(Required)

Hidden

Date(Required)

Your Name(Required)

Amount of Donation(Required)

Recipient Organization(Required)

Recipient Organization's Address (Street, City, State, ZIP)(Required)

Fundraising Web Page Link or Organization's Web Address(Required)

Please add any comments or questions regarding this donation and organization.

Name

This field is for validation purposes and should be left unchanged.

Tickets	Information

Items	Spaces	Price per space	Amount
		Total:

Checkout

Total Amount

Name *

Email *

Phone *

Messages to Admin

Payment type

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There is your details

Your name : {{ payment|customer_name }}

Your phone : {{ payment|customer_phone }}

Your email : {{ payment|customer_email }}

Your message : {{ payment|customer_message }}

Payments details

Total amount : {{ payment|amount_preview }}

Description : {{ payment|description }}

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