We All Belong Campaign

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Payment

Amount

Monthly One-Time

$20/mo $50/mo $100/mo Other $

I'd like to help cover the transaction fees for my donation. My total amount will be $20.85.

I'd like to make this contribution in honor or in memory of someone

Is this an Honorary or Memorial Gift?

In honor of In memory of

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I'd like to notify someone of this contribution

Who would you like to notify?

A message will be sent to the recipient to inform them of your contribution. Customize the notification by adding a personal message.

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I'm donating on behalf of a company or organization

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Organization Email Organization Phone

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Prefix (Optional) First Name Middle Name Last Name Suffix (Optional)

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Country (Optional) Postal Code City State/Province

Email Home Phone (Optional) Mobile Phone

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By submitting your cell phone number you are agreeing to receive periodic text messages from this organization. Message and data rates may apply. Text HELP for more information. Text STOP to stop receiving messages.

MICAH is a registered 501(c)(3) non-profit organization. No goods or services were provided in exchange for this contribution. Your donation is tax-deductible to the extent allowable by law.

Occupation Employer

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If you are self-employed, please list the name of the entity that is on your paycheck. Please list your line of work. "Business Person" is not acceptable, please enter the type of business instead.

We respectfully request that Partners of Partnerships and Members of LLC's contribute individually, instead of through their respective business entity.

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