Donate Now 💙 - Membership Form - Lebanese Syrian Ladies Aid Society

Contacts

92 Bowery St., NY 10013

thepascal@mail.com

+1 800 123 456 789

Donate Now 💙 – Membership Form

$ Donation Amount:

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First Name *

Last Name

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Donation Total: $20

Become a Ladies Aid Society member with an annual membership of $20/yr, or more if you’d like to donate! Thank for your donations to support our cause. We could not do this without you.

$ Donation Amount:

Personal Info

First Name *

Last Name

Is this donation on behalf of a company?

No
Yes

Company Name

Email Address *

Make this an anonymous donation.

Comment

Credit Card Info

This is a secure SSL encrypted payment.

Donation Total: $20

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