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B4B Fundraiser Payment Page
Katie Rose
2023-08-28T15:15:15-07:00
Basics 4 Babies Payment
QR/In- Person Event Donation Page
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Purchase Type
(Required)
Raffle Tickets/Trivia Entry
At Event
Hidden
Donor Information
Donation Amount
(Required)
$25
$50
$100
$200
Other
Your Name
(Required)
First
Last
Email Address
(Required)
Email Updates Opt In
Email Opt-In
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Total Donation Amount
The amount your credit card will be charged today.
Payment Method
PayPal Checkout
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Hidden
Entry Date
MM slash DD slash YYYY
Phone
This field is for validation purposes and should be left unchanged.
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