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Item: Juvenile Diabetes/Type 1 Diabetes Fund

Managing diabetes at any age is difficult, but especially so when you are a child. Your donation to this fund provides education, special opportunities and assistance to the diagnosed with Juvenile and Type 1 diabetes. 

Donation     $1.00 
 
Donation     $5.00 
 
Donation     $10.00 
 
Donation     $25.00 
 
Donation     $50.00 
 
Donation     $100.00 
 
Donation     $250.00 
 
Donation     $500.00 
 
Donation     $1,000.00 
 


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Please choose one of the following:
    In Memory Of:
    In Honor Of:
    In Celebration Of:
Name of Loved One:
 
Would you like us to send an acknowledgement the loved one or family of the loved on you are making the donation on behalf of?
    Yes
    No
If yes, please provide us with the name & mailing address in the space below of who you want to receive the acknowledgement and where it should be sent. Please note that in order for us to send an acknowledgement we will need this information.
 
Do you wish to remain anonymous?
    Yes
    No

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