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Donations - Secure Online Donation Form

Thank you for donating to the FPT-PAC - we value your contribution! If you are an FPTA member, please sign in before making your donation to assure proper credit.

Campaign/Fund Information
Campaign/Fund * FPT-PAC 2018
or Select a Different Fund
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Donation Information
Donation Amount *

NOTE:
The minimum donation amount is $25.00
Payment Method * Credit Card
Donation Type *


Number of Payments *  
FPT-PAC Donation Amex Disclaimer Read?
We do not accept American Express for FPT-PAC Donations - if you attempt to use Amex for FPT-PAC, you will generate an error message. We apologize for any inconvenience.
Occupation *
Other Occupation (if not PT, PTA or student)
Occupation is required for FPT-PAC donation reporting.
Donor Comments
Donor Information
First Name *
Middle Name
Last Name *
Suffix
Organization
Email *
Address *
Address Cont.
City/Town *
Country *
State
Postal Code*
Phone *
Billing Information
[ Click here if billing address is the same as donor address ]
 *  
Organization 
Address *
Address Cont.
City/Town *
Country *
State
Postal Code*
Billing Phone *

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