Make a Donation

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(if applicable)

Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Option*

$25 – Digital Artworks
$50 – Fulcrum Arts Mug +$25.00
$100 – Fulcrum Arts Tote Bag (Natural) +$75.00
$100 – Fulcrum Arts Tote Bag (Black) +$75.00
$200 – Digital Artworks, Mug, and Tote Bag (Natural) +$175.00
$200 – Digital Artworks, Mug, and Tote Bag (Black) +$175.00
Other Amount -$25.00
Other Amount – I prefer to make a fully tax-deductible donation in lieu of a premium -$25.00

Fixed Amount

Other Amount:

Gift Amount

$25.00

Credit Card

Card Details

Cardholder Name