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Donations - Secure Online Donation Form

Campaign/Fund Information
Campaign/Fund * The Water Equation
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Donation Information
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OTHER: $ 
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Donor Comments
Donor Information
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Middle Name
Last Name *
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Organization
Email *
Address *
Address Cont.
City/Town *
Country *
State
Postal Code*
Phone *
Billing Information
[ Click here if billing address is the same as donor address ]
 *  
Organization 
Address *
Address Cont.
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Country *
State
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Billing Phone *

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2355 Fairview Ave North, #117
Roseville, MN 55113
612. 216. 5004
mona@mnawwa.org

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