Kid's Club Information - Casa Pacifica

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Casa Pacifica Kid's Club Donation Information

Our esteemed Casa Pacifica Kid's Club member's annual contribution makes it possible for Casa Pacifica to maintain services for children and young adults struggling with mental health disorders in Ventura and Santa Barbara Counties.

Amount:

$ 30,000.00

$ 20,000.00

$ 15,000.00

$ 10,000.00

$ 5,000.00

$ 2,500.00

$ 1,500.00

Other

$

*

Additional Information

Frequency:

On:
Starting: Ending:

Corporate:

This donation is on behalf of a company

Please type your name exactly as you want it to appear in publications:

Billing Information

Title:

First name:

*

Middle name:

Last name:

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Country:

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Address lines:

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City:

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State:

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ZIP:

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Phone:

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Email:

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Payment Information

Cardholder's Name:

*

Credit Card Number:

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Card Type:

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Card Expiration:

/

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Card Security Code:

help

*

Matching Gifts

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Company:

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