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Celebration Tree

Order Form

Your name:

Phone number:

INSCRIPTION: Maximum 4 lines; up to 18 letters each, including spaces.

Line 1

(up to 18 characters with spaces)

Line 2

(up to 18 characters with spaces)

Line 3

(up to 18 characters with spaces)

Line 4

(up to 18 characters with spaces)

* Donation amount (minimum of $200) $

Contributions to the CELEBRATION TREE are 100% tax deductible.

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

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

Celebration Tree

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.

Celebration Tree

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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