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Donations - Secure Online Donation Form
Our organization is able to continue its mission because of your support and generosity. By contributing to a campaign listed below, you'll help ensure that our work continues. Online donations are quick and easy using our secure credit card transactions. We welcome donations of all sizes. Please note that donations made to either the PAC or the Campaign for NP Awareness are not tax deductible.

Campaign/Fund Information
Campaign/Fund * Campaign for Nurse Practitioner Awareness
or Select a Different Fund
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Donation Information
Donation Amount *
NOTE:
The minimum donation amount is $1.00
Payment Method * Credit Card
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 
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Address Cont.
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Billing Phone *

Office Hours: M-F 8:30am - 5:00pm | Tel: 518-348-0719 | Fax: 518-348-0720 | Email: info@TheNPA.org