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Thank you for supporting the children and families that we serve! At Nemours, we promise to do whatever it takes to treat every child as we would our own.

Donation Levels 
  Level Range
$100 and up
$75 - $99
$50 - $74
$25 - $49
* required information
Select Gift Frequency
I would like to make a one-time gift for the following amount:
:* $
I would like to make a recurring gift.
Gift Amount* # of Payments Payment Frequency Total Gift Amount
$ X = $
NOTE: This transaction will count as the first payment toward your total gift amount.
Donor Designations
Select a designation for your contribution.

If you choose "other" for the designation below,
please specify your designation in the "Designation Note"
field in the bottom section of this form.

Donor Information
Capital DE Naming Text:
Club Type:
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
ZIP/Postal Code:*
Mail to this Address?
Payment Information
:*   Explain
Credit Card Type:*
Credit Card Expiration:*
Billing Information
If the billing information is the same as the contact information check this box.
If not please fill out the information below:

Designation Note/Memorial Tribute Info

Specify the designation of your gift
if you chose "other" in the section above.

You can also make your gift in honor or memory of someone special by filling in the information below. A letter will be sent on your behalf to the acknowledgee listed below.

Designation Note:
Honoree First Name:
Honoree Last Name:
Tribute Type:
Tribute Description:
Message to Honoree:
Notification Recipient First Name:
Notification Recipient Last Name:
Notification Recipient Address Line 1:
Notification Recipient Address Line 2:
Notification Recipient City:
Notification Recipient State:
Notification Recipient Zip Code:
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E-Together Florida
Monthly newsletter (FL Version) from the Nemours Fund For Children's Health, the philanthropic arm of Nemours.
E-Together Delaware Valley
Monthly newsletter (DE Valley version)from the Nemours Fund For Children's Health, the philanthropic arm of Nemours.
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