Icelandic Hekla Club Donation Form
Please provide information for your donation to the Icelandic Hekla Club.
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电子邮件地址 *
Date
年
/
月
/
日
Last Name *
First Name
Address street
Address- apartment or unit
City
State
Zip code
Amount of donation
Please check the categories to which you wish to donate.
Indicate amount that you want to go to each category if more than one was checked.
Please share comments
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