Donation

Donation Amount:

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First Name: Last Name: Email: Phone: Address: City: State: Zip: - Keep Anonymous: This Donation is In Honor/Memory of: Send Acknowledgement To: Address: City: State: Zip Code: - Email:

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Billing Information

Payment method: Credit Card
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Pay by Credit Card

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Card:

Cardholder First Name: Cardholder Last Name: Zip Code: -

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E-Check Billing Information

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Click this button to make your payment via PayPal.
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Pay by Check

Please mail payment to:

National Indian Child Care Association
PO Box 380
Ramona, OK 74061

Payments must be received within 30 days to avoid cancellation of purchase.

I will mail my payment to the address listed above within 30 days or my purchase will be canceled.

NOTE: Please only click the 'SUBMIT' button once. Your payment may take time to process.