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DISASTER RELIEF – SOUTHERN CALIFORNIA FIRE DONATIONS BYCHECK ONLY CLICK HERE FOR INFORMATION

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- To Credit you and your Lodge or make an honorary, memorial, recurring donation, 52, or Century Club, click here
- A Simple Donation (be anonymous) with no acknowledgement, click here
Recurring Donation
- Click box to make this a monthly recurring donation
Your recurring donation will be processed automatically. You will receive an email receipt for each recurring donation.
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LODGE RECEIVING CREDIT*
MEMBER NUMBER*
Donor's Information*
First Middle Initial Last
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Credit Card*

American Express
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
For Office Use Only
BILLING DETAILS*
Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Total
$0.00
TYPE OF DONATION*
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HONOREE DETAILS*
First Middle Initial Last
Would you like us to notify anyone of your donation?
Would you like us to notify anyone of your donation?
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- No, thank you
*
Notification Recipient First Name Notification Recipient Last Name
Notification Address*
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California-Hawaii Elks Association

of The Benevolent and Protective Order of Elks of the United States of America

DISASTER RELIEF – SOUTHERN CALIFORNIA FIRE DONATIONS BYCHECK ONLY CLICK HERE FOR INFORMATION

Make a Donation to CHEMPI: