Gallatin Shalom Zone Donor Form

Your generous donation supports operations of Shalom Zone, and our mission to change lives by delivering free programs and resources to our community. We can't do this without you, and your support makes all the difference!

Thank you for loving our community!

First Name: Last Name: Company: Email: Phone: Address: City: State: Zip: - Donation Amount:

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Billing Information

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Cardholder First Name: Cardholder Last Name: Cardholder Email: Billing Address: City: State/Province: Zip Code: - Country:

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