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 strong programs and critical services for abused, traumatized or at-risk children in Ventura and Santa Barbara Counties.

Amount:

$ 30,000.00

$ 25,000.00

$ 20,000.00

$ 15,000.00

$ 10,000.00

$ 2,500.00

$ 1,500.00

Other

$

*

Additional Information

Type of gift:

One-time gift
I want to participate in the monthly giving program

Frequency:

On:
Starting: Ending:

Corporate:

This donation is on behalf of a company

Anonymous:

Check box if you prefer to remain anonymous

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

Billing Information

Title:

First name:

*

Middle name:

Last name:

*

Country:

*

Address lines:

*

City:

*

State:

*

ZIP:

*

Phone:

*

Email:

*

Payment Information

Cardholder's Name:

*

Credit Card Number:

*

Card Type:

*

Card Expiration:

/

*

Card Security Code:

help

*

Matching Gifts

My company will match my gift

Company:

*

Tribute Information

Type:

*

Name:

*

First name:

Last name:

*

Mail a letter on my behalf to

*

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