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Donation Form

     

Please help fundraise.

Please provide your contact and payment information. The contact information is required to generate a tax receipt, for donations of $20.00 and over.  The electronic tax receipt will be sent to the email address that you provide.
* denotes required information




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Contact Information


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Matching Gift

Your employer may match your gift. Enter your employer name below to see if your company offers matching gift.
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    Payment Information


    * * Donation Amount:
    Did you know that by covering the processing fee, Cardiac Fitness Association will be able to help more people?
    * Processing Date:
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    installments
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