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Donation

* Mandatory fields
 

Name

*Preferred First Name
Middle Name
*Last Name
Suffix
 

Contact Information

Organization
*Email
*Phone
Enter numbers only.
Description of Donation (goods, services, volunteer time, etc)
If your donation is goods/services/volunteer time, please describe the Items or Services and enter your estimate of their Fair Market Value.
*Value of Donation ($USD)
Enter the total value of your donation. If you are donating items/services, use your best estimate of their Fair Market Value.
Donation frequency
*Where would you like your gift to help?
Select the area(s) where you would like your donation to be used. If more than one area is selected, your donation will be allocated evenly between the areas. If you make no selection, your donation will be used to benefit the Club the most.
 

Pittsburg Fifty Plus Club Corporation is 501(c)3 non-profit organization, EIN 94-2410900. PO Box 1871, Pittsburg, CA 94565

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