1) Select Donation TypeThis fund was established to support programs of local organizations that improve the lives of women and girls in SLO county.Legacy Leaders may continue their support with a single or reoccurring donation of $250 or more to sustain the Women’s Legacy Fund permanent endowment.Select a Fund*Select a FundAccess for All FundACTION for Healthy Communities Designated FundAIACCC Architectural Education AwardAIDS Support Network Endowment FundAlfred I., Catharine J., and Eleanor G. Switzer Scholarship FundALPHA Endowment FundAlva, Ernest & William Righetti Fund for Seniors and People with DisabilitiesAmy L. Arsenio Endowment FundArt Inspires Endowment FundAtascadero Loaves & Fishes Endowment FundBecome a Legacy Leader / Young 100Brian Waterbury Memorial Scholarship FundBurt W. Polin and Virginia Polin Elks Scholarship FundCayucos Land Conservancy Endowment FundCayucos Lost at Sea Memorial FundChris Jespersen Memorial Society Endowment FundCity of San Luis Obispo Open Space Preservation FundCommunity Action Partnership Endowment FundCommunity Animal Welfare FundCommunity Counseling Center of SLO County Endowment FundCommunity Needs FundDavid B. Gianas Memorial Scholarship FundDennis T. Collins/Thomas D. Salisbury Troop 60 Eagle Scout Memorial Scholarship FundDisaster Support FundDon Floyd Memorial Scholarship FundDorothy Ross Memorial Scholarship FundDouglas DeGross Scholarship for Automotive StudiesEconomic Vitality Corporation Endowment FundEmergency Medical Services FundEmmit Herrington Memorial FundEnd Kids CancerEnvironmental Grant FundFire Relief FundFoster Parents Association Endowment FundFoundation for San Luis Obispo County Libraries Endowment FundFriends of Senior Nutrition Program Endowment FundFriends of the Elephant Seal Endowment FundFriends of the San Luis Obispo Botanical Garden EndowmentFund for Vineyard and Farm WorkersGarris Family Scholarship FundGary Grossman Scholarship FundGary Paul Piantanida Scholarship FundGerman School Committee FundGerry and Peggy Peterson Performing Arts FundGifts in honor of Heidi McPhersonGifts in Memory of Ben McAdamsGoodwill Industries Endowment FundGrizzly Youth Academy FundGrover Beach Community Library Endowment FundGrowing Together FundHealthy Eating Active Living (HEAL SLO)Helen and Ronald Dunin Memorial Endowment FundHolser Educational Fund for the Performing ArtsIan Purdon Memorial Scholarship FundImpact Media FundIrene H. Broadbent Music Scholarship FundIsabel P. Ruiz Humanitarian Award Endowment FundJack House Endowment FundJames W. Brabeck Youth Legacy Fund (JWBYLF)Jean E. Anderson Endowment Fund for Bicycling and Pedestrian Safety EducationJennifer Thoma Memorial Ballet ScholarshipJohn and Yvonne Hsu Edmisten Scholarship in memory of Allan Voigt M.D.John S. Renner Memorial Genius AwardJohn S. Renner Memorial Scholarship FundJulian Crocker Community Scholarship FundJustin McCutcheon Memorial Scholarship FundLand Conservancy of SLO County Core Conservation FundLauren Tipton Slaughter Scholarship FundLeadership San Luis Obispo Endowment FundLee Jeberjahn Memorial Golf Scholarship FundLibbie Agran & Richard Sauret Endowment FundLife Long Learners of the Central Coast FundMarion M. Sinsheimer Fund for TeensMaureen "Mo" Clancy Memorial Scholarship FundOpera San Luis Obispo Endowment FundParents Helping Parents Endowment FundPartners for the Conservation of the Los Osos Coastal Dunes FundPeople's Self-Help Housing Corporation Endowment FundPreventive Health Care Endowment FundProject HeartbeatRaising a Reader FundReal Estate Foundation of San Luis Obispo CountyRichard Fisher Memorial Scholarship FundRichard J. Weyhrich Leadership FundRichard K. Sauret Viticulture & Enology Scholarship FundRoy N. Wolf Memory FundRuth Brackett Fund for ChildrenSan Luis Obispo Children's Museum Endowment FundSan Luis Obispo County Bar Association Scholarship Fund (SLOCBA)San Luis Obispo Symphony Endowment FundSera Day Coryell Fund for Nursing EducationSLO County Feed the Hungry Endowment FundSLO County Tourism Land ConservationSLO County UndocuSupport FundSLO County Youth Symphony Endowment FundSLO Wind Orchestra Endowment FundSoftec Technology Education FundSouth County Performing Arts Foundation Endowment FundSpirit of the Class of '49 Award FundStephen Donnellan Moss Memorial Scholarship in Journalism FundSTUDIOS on the Park FundSustaining Legacy Leader GiftTEACh Endowment FundTEACh Pass-Through FundThe Community Foundation Building Preservation FundThe Community Foundation Health Programs FundThe Community Foundation Leadership FundThe Community Foundation Operations FundThe Monday Club Endowment FundThe Mortgage House FundTransitions-Mental Health Association Youth Mental Health FundUnited Way of San Luis Obispo County Endowment FundUrbani Family Scholarship FundWilliam Randolph Hearst Fund for the ArtsWomen's Legacy FundWoods Humane Society Endowment FundYeager Science Scholarship FundYouth Opportunities Endowment FundYouth Opportunities FundYouth Pathways FundZach Elliott Memorial ScholarshipThe Mortgage House Fund Please select which fund(s) you would like to give to at The Community Foundation. Enter Donation Amount:* Fund & Gift AmountsSelect a Fund*Select a FundAccess for All FundACTION for Healthy Communities Designated FundAIACCC Architectural Education AwardAIDS Support Network Endowment FundAlfred I., Catharine J., and Eleanor G. Switzer Scholarship FundALPHA Endowment FundAlva, Ernest & William Righetti Fund for Seniors and People with DisabilitiesAmy L. Arsenio Endowment FundArt Inspires Endowment FundAtascadero Loaves & Fishes Endowment FundBecome a Legacy Leader / Young 100Brian Waterbury Memorial Scholarship FundBurt W. Polin and Virginia Polin Elks Scholarship FundCayucos Land Conservancy Endowment FundCayucos Lost at Sea Memorial FundChris Jespersen Memorial Society Endowment FundCity of San Luis Obispo Open Space Preservation FundCommunity Action Partnership Endowment FundCommunity Animal Welfare FundCommunity Counseling Center of SLO County Endowment FundCommunity Needs FundDavid B. Gianas Memorial Scholarship FundDennis T. Collins/Thomas D. Salisbury Troop 60 Eagle Scout Memorial Scholarship FundDisaster Support FundDon Floyd Memorial Scholarship FundDorothy Ross Memorial Scholarship FundDouglas DeGross Scholarship for Automotive StudiesEconomic Vitality Corporation Endowment FundEmergency Medical Services FundEmmit Herrington Memorial FundEnd Kids CancerEnvironmental Grant FundFire Relief FundFoster Parents Association Endowment FundFoundation for San Luis Obispo County Libraries Endowment FundFriends of Senior Nutrition Program Endowment FundFriends of the Elephant Seal Endowment FundFriends of the San Luis Obispo Botanical Garden EndowmentFund for Vineyard and Farm WorkersGarris Family Scholarship FundGary Grossman Scholarship FundGary Paul Piantanida Scholarship FundGerman School Committee FundGerry and Peggy Peterson Performing Arts FundGifts in honor of Heidi McPhersonGifts in Memory of Ben McAdamsGoodwill Industries Endowment FundGrizzly Youth Academy FundGrover Beach Community Library Endowment FundGrowing Together FundHealthy Eating Active Living (HEAL SLO)Helen and Ronald Dunin Memorial Endowment FundHolser Educational Fund for the Performing ArtsIan Purdon Memorial Scholarship FundImpact Media FundIrene H. Broadbent Music Scholarship FundIsabel P. Ruiz Humanitarian Award Endowment FundJack House Endowment FundJames W. Brabeck Youth Legacy Fund (JWBYLF)Jean E. Anderson Endowment Fund for Bicycling and Pedestrian Safety EducationJennifer Thoma Memorial Ballet ScholarshipJohn and Yvonne Hsu Edmisten Scholarship in memory of Allan Voigt M.D.John S. Renner Memorial Genius AwardJohn S. Renner Memorial Scholarship FundJulian Crocker Community Scholarship FundJustin McCutcheon Memorial Scholarship FundLand Conservancy of SLO County Core Conservation FundLauren Tipton Slaughter Scholarship FundLeadership San Luis Obispo Endowment FundLee Jeberjahn Memorial Golf Scholarship FundLibbie Agran & Richard Sauret Endowment FundLife Long Learners of the Central Coast FundMarion M. Sinsheimer Fund for TeensMaureen "Mo" Clancy Memorial Scholarship FundOpera San Luis Obispo Endowment FundParents Helping Parents Endowment FundPartners for the Conservation of the Los Osos Coastal Dunes FundPeople's Self-Help Housing Corporation Endowment FundPreventive Health Care Endowment FundProject HeartbeatRaising a Reader FundReal Estate Foundation of San Luis Obispo CountyRichard Fisher Memorial Scholarship FundRichard J. Weyhrich Leadership FundRichard K. Sauret Viticulture & Enology Scholarship FundRoy N. Wolf Memory FundRuth Brackett Fund for ChildrenSan Luis Obispo Children's Museum Endowment FundSan Luis Obispo County Bar Association Scholarship Fund (SLOCBA)San Luis Obispo Symphony Endowment FundSera Day Coryell Fund for Nursing EducationSLO County Feed the Hungry Endowment FundSLO County Tourism Land ConservationSLO County UndocuSupport FundSLO County Youth Symphony Endowment FundSLO Wind Orchestra Endowment FundSoftec Technology Education FundSouth County Performing Arts Foundation Endowment FundSpirit of the Class of '49 Award FundStephen Donnellan Moss Memorial Scholarship in Journalism FundSTUDIOS on the Park FundSustaining Legacy Leader GiftTEACh Endowment FundTEACh Pass-Through FundThe Community Foundation Building Preservation FundThe Community Foundation Health Programs FundThe Community Foundation Leadership FundThe Community Foundation Operations FundThe Monday Club Endowment FundThe Mortgage House FundTransitions-Mental Health Association Youth Mental Health FundUnited Way of San Luis Obispo County Endowment FundUrbani Family Scholarship FundWilliam Randolph Hearst Fund for the ArtsWomen's Legacy FundWoods Humane Society Endowment FundYeager Science Scholarship FundYouth Opportunities Endowment FundYouth Opportunities FundYouth Pathways FundZach Elliott Memorial ScholarshipThe Mortgage House Fund Please select which fund(s) you would like to give to at The Community Foundation. Enter Donation Amount:* Add Another FundRemove FundMaximum of 5 fundsDonation Type One time Recurring This field is hidden when viewing the formBecome a Legacy Leader / Young 100 Legacy Leader - Young 100 Legacy Leader / Young 100 Join a community of leaders by donating $1000.A Legacy Leader is a community member who has donated $1000 or more to The Women’s Legacy Fund, the Young 100 is an affordable pathway to becoming a Legacy Leader over time. Both programs support the mission to be a catalyst for philanthropy that improves the lives of Women and Girls in SLO County. Legacy Leader Legacy Leaders support the Women’s Legacy Fund in perpetuity by making a donation of $1,000 or more to the permanent endowment fund. Young 100 Young 100 is an affordable pathway to Legacy Leadership designed to encourage a diverse group of community members to practice philanthropy. The program works by setting up monthly payments to build a $1,000 Legacy Leader gift over 3 years. Donte to the Women's Legacy Endowment Fund This is a permanent fund that is used to support local programs to benefit women and girls through annual grantsDonte to the Women's Legacy Operations Fund This is a fund that supports the hard working volunteers and staff in administration, education, and outreach efforts. Amount: $1000Please select recurring amount for Legacy Leader / Young 100* $28.00/month $50.00/month $100.00/month Recurring Type: Monthly Quarterly Annually Start Date:* MM slash DD slash YYYY End Date:* MM slash DD slash YYYY 2) Personal Information I am making this gift on behalf of my organization Business/OrganizationTitle*Choose oneMr.Mrs.Ms.Mx.Dr.Fr.Rev.RabbiSr.OtherChoose one Custom Title*Name* First Last Email* Phone*Mailing Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Check here if Billing Address is different than Mailing Address Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country 3) Honorary & Memorial GivingHow would you like to give a gift? This is not an honorary or memorial gift This is an honorary gift This is a memorial gift My gift is in honor of:If you would like someone to receive notice of your gift, please provide their mailing address below:Name First Last Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country My gift is in memory of:If you would like someone to receive notice of your gift, please provide their mailing address below:Name First Last Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country 4) Additional Comments/RequestsIf you have a special handling request or a specific intention for your gift, please complete the text box below.Comments/Requests5) Additional InformationWould you like 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Informational Newsletter Information about gifts to the Foundation through a bequest or will Information about gifts of stock, real estate or other assets How did you hear about us?6) Confirm Total Gift AmountTotal Total $0.00 7) Secure Credit CardCredit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name CAPTCHA Δ
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