Annual Campaign 2021 Annual Campaign 2021 Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* PhoneI will make a gift in the amount of* Please use the following name(s) in all acknowledgmentsWould you like to remain anonymous? Yes, I would like to remain anonymous I would like to help offset credit card processing fees by adding an additional 3% to my total* yes no I am interested in learning about HCRJ's L'Dor V'Dor Legacy Program Yes No credit card processing fee Price: $0.00 Total $0.00 Δ
