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Donation Form

To make a credit card contribution to S.I.M.C.H.A Fund just fill out the form below and click submit at the bottom of the page. You will be redirected to our Secure Server upon submitting this form. Fields in BOLD are required. Your donation is Tax-Deductible and a receipt will be issued to you by "One Family Fund." To send checks, please complete the below form (Selecting the "Check" payment method) and mailing instructions will appear upon submitting the form.

In Honor Of:
If you'd like us to send a card to the recipient, please provide the address and request in the "Comments" section below.
Payment Method: Credit Card (Secure)      Check/Mailed Donation
Amount (USD) Other Amount:
First Name:
Last Name:
Address:
City:
State/Country

Shortcut: click the pull-down list and type the first letter of your state or country.
Zip/Postal Code:
Tel:
Fax:
E-mail:
Comments:
 
 

 

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