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Donation Form Test
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Donation Amount
Donation Amount
*
$1000
Ensures that one more child receives Wonders & Worries support for a year
$250
Supports a community presentation on how to help friends and family experiencing illness or injury
$150
Covers the cost of providing activity kits to a family completing virtual sessions
$50
Allows an ill parent to receive parenting support from expert staff through our helpline
$25
Provides an activity kit for an in-person therapeutic session
$10
Provides a child with a coping kit to use on a rough day
Other amount
Other Amount
Credit Card Fee
Would you like to cover the $3 credit card fee?
I prefer not to cover the $3 credit card fee at this time.
I'm happy to cover the $3 credit card fee with my donation.
$3 Fee
Price:
Recurring Option
Recurring Option
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One time only
Monthly
Billing and Contact Information
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Address
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Street Address
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Afghanistan
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American Samoa
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Antarctica
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Venezuela
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Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
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Honorariums and Memorials
Is this gift in honor or memory of someone special?
Honorarium
Memorial
No, this gift is not in honor or memory of anyone.
Please provide the name of the person for whom this gift is in honor.
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Please provide the name of the person for whom this gift is in memory.
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If you would like to send an acknowledgement, please provide the name of the recipient.
If you would like to send an acknowledgement, please provide the mailing address of the recipient.
Matching Gifts
Will your company match this donation?
Yes
No
Please provide the name of your company
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Updates from Wonders and Worries
Would you like to receive email updates from Wonders & Worries in order to stay informed about the work you are supporting?
Yes, keep me in the loop!
No, thank you.
Gift Recognition/Description
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Do you wish to give anonymously?
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Yes
No
Comments
Payment Details
Credit Card
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By clicking [Accept], you authorize Wonders & Worries, Inc to debit the bank account or charge the credit card specified for any amount owed for charges arising from this donation. You may amend or cancel this authorization at any time by providing notice to Wonders & Worries, Inc as defined by our Donation Refund Policy.
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