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2. First Name
3. Last Name
5. Phone Number
6. Mobile Number
7. Email
9. Physical Address
10. Mailing Address
12. City
13. State
14. Zip
16. Donation Type
    -- Select One --MonetaryItemProjectOther
17. Donation Amount
19. Reason for Donating
21. Optional Message for Parks and Recreation Department
23. Someone at the Parks and Recreation Department will be in touch regarding your intent to donate. By submitting this form, you agree to follow through on this donation request upon being contacted by the Department.
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25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field