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Make a Donation

Unable to attend? Make a donation to benefit the Avera Queen of Peace Pediatric and Maternal Care Fund. 

Donation Information
Amount:	  $ 25.00   $ 50.00   $ 100.00   $ 250.00   $ 500.00   $ 1,000.00 Other $     *
Additional Information
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Corporate:	This donation is on behalf of a company
Anonymous:	I prefer to make this donation anonymously
Personal Message:
Billing Information
Title:	Dr. Reverend Sister
First name:		*
Last name:		*
Country:	United States Canada Mexico	*
Address lines:		*
City:		*
State:	<Please Select> AA AE AL AK AB AS AP AZ AR BC CA Can CZ CH CO CT DE DC DG FM FL GA GU HI ID IL IN IA JA KS KY LA ME MB MH MD MA EM MI MN MS MO MT NE NV NB NH NJ NM NY NL NC ND MP NT NS NU OH OK ONT ON OR PW PA PE PR QC RI SK SC SD Sta TN TX UT VT VI VA WA WV WI WY YC YT NSW	*
ZIP:		*
Phone:		*
Email:		*
Matching Gifts
	My company will match my gift
Company:		*
Tribute Information
Type:	in memory of in honor of	*
Name:		*
First name:
Last name:		*
	Mail a letter on my behalf	*

For questions, please email specialevents@avera.org.