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Klodell Family Donations

Please fill out the form below to provide a monetary donation to the Klodell family. These donations will be put toward cleaning, food, or any additional expenses the family may encounter.

Thank you for your support.

* Donation Amount $

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Please increase the payment amount by 3% to cover the cost of credit card fees (No fee for Checking)

Total:

Klodell Family Donations

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

Klodell Family Donations

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

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