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Goal:
$1,000.00
Collected:
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First name
*
Last name
Organization
*
Email
Phone
Email Address
Business Name
Business Owner/Contact Person Name (First & Last)
Business Address, City, State, Zip (If home-based/online use City & State)
Business Phone Number
Business E-Mail (if different from above)
Facebook Business Page (https/www.facebook.com/_______)
Instagram Business Page (https/www.instagram.com/_______)
Website
*
Amount ($USD)
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