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Donation Type

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Monthly Amount

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One Time Amount

Other Amount

Contact Information

First Name

Last Name

Street Address

City

State/Province

Postal Code

Email

Phone

Payment Method

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Payment Information

Name on Card

Card Number

Exp. Month

Exp. Year

3 Digit Code

Payment Information

Account Type

CheckingSavings

Bank Name

Name on Account

Bank Routing Number

Bank Account Number

Is this donation from an organization?

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Organization Name

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LightHawk is a non-profit, tax-exempt 501(c)(3) organization (FEIN 84-0852104). All donations are tax-deductible to the full extent permitted by law.

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