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Supporting Your Columbia: Honor Campaign
Your Donation
Donation Option
*
One-Time
Monthly
per month
Donation Amount
*
Donation Amount
*
$
/
Maximum Amount to Donate (Optional)
$
Total
I would like my donations to go benefit the following area (please choose one):
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[Select...]
Alzheimer's Disease
Cancer
Cardiology
Diabetes
Parkinson's Disease
Pediatric Cardiology
Pediatrics
Psychiatry
Transplantation
Cerebral Palsy
Greatest Need (General Support for CUIMC)
Corporate Giving
Individual Gift
Gift on behalf of my company
Employer Name
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Payment
Payment Method
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Contact Details
Name
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First Name
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Email Address
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description
Yes! I’d like to cover processing costs. (
per month
per year
per
)
Set a time limit on monthly donations?
*
No
Yes
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Months
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