One Time Donation Form

No matter how big or small, your gift today will save more lives...

Donor Information
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Donation Selection
Select the charities you want to donate to and enter a custom amount if required by your selection. Donations must be at least $1.00. You can view the different charity descriptions here.
Blue Jeans Donation
Action Donate To Amount
No charities selected.
Donation Subtotal: $0.00

NOTE: Our Third Party Processor will apply a processing fee for donations in credit/debit cards and electronic checks. For credit/debit cards, it is $1.49 for any donation amount under $60 and 2.50% for any donation amount over $60. For electronic checks, it is $0.95.

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