Product Quantity Price Amount
Donation 125.00 125.00
Donation 200.00 200.00
Donation 175.00 175.00
Donation 500.00 500.00
Donation 100.00 100.00

All prices are in US Dollars TOTAL 1,100.00

 
For donation acknowledgements, include contact information below.

To delete an item, change the quantity to zero and click RECALCULATE