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Please complete the form below. We deeply appreciate your generosity.

Donor information

IAHPC does not distribute or sell contact information of our donors. This information is treated as confidential and is only for our files and record keeping.

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We are asking you for this information as we are required to submit it to the US government.

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What you would like to support with your donation?

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Do you want honor someone?

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Amount

In US dollars. Minimum amount: US$10

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Payment method

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