| Date: | ||
| Your Name: | ||
| Company/Organization | ||
| E-mail Address: | ||
| Donation Amount: | ||
| If you are paying by Credit Card | ||
| Please Check One: | ||
| Master Card VISA AmEx Discover | ||
| Credit Card Number: | ||
| Expiration Date: | ||
| CVV2:(help) | ||
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Donations will be used based on the needs of Our Children's HomesSend to: The
DHS Club - C/O The DHS ClubKids - 2560 Placida Road - Englewood, FL 34224
USA
Thank you for Donating |
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