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Donor Information

First Name

Last Name

Email Address

Phone Number

Address 1

Address 2

City

State

Zip

Business Name

Donation Amount

Other Donation Amount

Please Choose a Fund

Total Donation Amount

Payment Type

Small Business Grant Fund Total

Education Fund

Workforce Development Fund

Economic Development Fund

Annual Fund

Building Fund

Launch JoCo Fund

First Responders Scholarship Fund

NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks.

Credit Card Information

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