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* Mandatory fields

*First name

*Last name

Member Council/ or Referral Name

*E-mail

Phone

Comments

*Amount ($USD)

Custom Amount

$10 Donation $10.00 (USD)

$25 Donation $25.00 (USD)

$50 Donation $50.00 (USD)

$100 Donation $100.00 (USD)

$200 Donation $200.00 (USD)

Please choose a predefined amount of any amount of your choice. Proceed to PayPal.

*Type of Donation

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*Name

*Email

Comment

If you would like to make this donation in memorial or in recognition of someone, please list that in the comments field.

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Address:

Edmond Women's Club
PO Box 3046
Edmond, OK 73083