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Donation Details
I would like to make a donation to Jazz House Kids in the amount of:*
I would like to designate my donation to a specific fund.
- Yes
- No
Please select your designated fund:
Are you donating in honor or memory of someone?
- Yes
- No
Name of person to be honored:
Donor Information
Name*
First Last
I would like my donation to remain anonymous.
- Yes
- No
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
How did you learn about Jazz House Kids?
Notes
I would like to cover the cost of my credit card processing fee (3%).*
- Yes
- No
Processing Fee
Price: $0.00
A 3% processing fee is charged for all credit card transactions.
Donation Amount:
$0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Comments
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Donation Details