United Way of El Dorado

Donation Form

Donation ($):

Service Fee (2.9% + $.30):

Yes No

Service fee will be deducted from your donation.

Total ($):

Donation For

First name

Last name

Email Address

Address

City

Country

State

Zip Code

Phone Number

Comment

Same as mailing address

Billing Address

City

Country

State

Zip Code

Verification Code

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