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Please make a donation below.
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Select Gift Frequency
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Enter Donation Amount Here: *
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$
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SELECT AN ORGANIZATION
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Donor Information
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* required information
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First Name: *
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Last Name: *
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Address Line 1:
*
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Address Line 2:
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City: *
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State: *
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ZIP/Postal Code:
*
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Phone(with area code):*
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Email: *
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Payment Information
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Cardholder's Name: *
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Credit Card Number: *
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CVV Number:
*
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Explain
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Credit Card Type: *
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Credit Card Expiration: *
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Billing Information
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If the billing information is the same as the contact information check
this box.
If not please fill out the information below:
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Address Line 1: *
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Address Line 2:
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City: *
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State:*
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Province:
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ZIP/Postal Code:
*
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Country: *
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Matching Gift Information
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Many employers match donations to charitable organizations for their
employees, retirees and family members. Employer matching gifts can double or even
triple your donation to Big Brothers Big Sisters. To initiate a matching gift, check
with the personnel or human resources department at your and/or your spouse’s employer.
If the employer uses a Matching Gift form, please complete and send it to:
Kansas BBBS 310 East 2nd Street Wichita, KS 67202
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Will this donation be potentially matched?
If you know the following information regarding the matching gift, please
complete.
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Company Name:
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Matching Gift Amount:
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$
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