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Hospital Fund Drive
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$100
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Other
Other Amount
I would like to donate to (Please choose one)
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Texas First Ladies’ 2024 Project
Hospital Fund (In Honor or Memory of, please put in comments)
Virtual Fall Hospital Fund
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Last
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Address Line 2
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Armed Forces Americas
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
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Year
2024
2025
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2042
2043
Expiration Date
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If you would like to cover all transaction fees so 100% of your donation goes to Shriners Hospitals for Children please check the box below
I would like to donate an extra 3% to cover the service charge / fees.
Additional Amount to Cover Service Charges
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Total
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