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Donate in a Friend's Name

Please fill out this form to donate in a friend's name. This information will be sent to the United Way - Eagle River Valley and you will be redirected to donate through PayPal.
 
Your Name:  Your Address: 
*Your Email:    City: 
Your phone:    State:    Zip:
 
*Donation Amount:       
         
*Friend's Name:  *Friend's Address: 
*Friend's Email:    *City: 
*Friend's Phone:    *State:    *Zip:
 
Comments: 
*required fields    
United Way of Eagle River Valley • P.O. Box 1833 Eagle, CO 81631 • Phone: 970-479-2895 • Fax: (970) 328-1639
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