Thank you for supporting the Right to Clean Water
Your contribution to this legacy event will be forever remembered, directly supporting the campaign's success and critical change in Florida -- perhaps elsewhere.

As you may know, we'll need to keep records of certain information from our donors for reports to the State Division of Elections.  Thank you for filling out the below information regarding your intended contribution.

If you are interested in donating something "in kind" (such as printer paper, staff time, canopies for events, small tables, etc.) please contact your regional coordinator (see "About Us" on our website).  

Please let us know if you have any questions, and thank you again for your generosity!  This would not be possible without your help.
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Email *
Name *
Address (street, city, state, zip code) *
Phone number (should we have any questions)
Occupation (by field, position or retired, etc.) *
Amount of monetary donation (THANK YOU!) *
How would you like to donate?  ***Please make sure you submit this form before closing!***
For checks, please mail to:, 13300 S Cleveland Ave, Ste 56, Fort Myers, FL 33907

For online payments by PayPal or credit / debit card, please click here:

For Venmo users, click here:

Thank you, we deeply appreciate your generous support!

A copy of your responses will be emailed to the address you provided.
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