Donation Form – The Diana Initiative

$15,018 of $20,000 raised

We appreciate any amount you can give!

If you don’t want to appear on [our public donor wall], please be sure to check “Make this an anonymous donation” underneath the email field.

$ Donation Amount:

Give what you can - Any amount helps!

I'd like to help cover the transaction fees of 0 for my donation.

Personal Info

First Name *

Last Name

Email Address *

Make this an anonymous donation.

Comment

If choosing a gift, please provide a complete and valid mailing address.

Gift Choice

Shipping Address

Twitter shout-out

We like to publicly thank our donors - do you mind if we post about your donation on Twitter? Yes, a Twitter shoutout is fine. By name is okay, don't include amount. Amount is okay, but don't @ me. Please don't mention my name or amount on Twitter, thanks.

Display Name / Handle

Twitter Username

Donation Total: $50.00

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