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USD Donations with
American Tax Receipts
First name
Last name
*
Phone
*
Email
*
Donation Ammount
*
$36 - A token of gratitude
$180 - Sponsor the lab costs of one swab
$1800 - Sponsor PSW care for a kidney donor
$3600 - Sponsor travel costs for an out of town kidney donor
Other
Credit Card No.
*
Exp MM/YY
*
C V V
*
Mailing Address (required to process credit card and for tax receipt)
*
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