Donation Information

Please complete the form below and click on "Submit Donation" to make your tax-deductible donation.

$100

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Reason for Donation

Salutation

First Name*

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Address*

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Payment Info

Name as it appears on card

Acknowledgement

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Dedication Information (Optional)

Dedication Type

Dedication Honoree Name

Personal note to be included with donation

Dedication Acknowledgment Information

Acknowledge by

First Name

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Address

Other Ways to Give

Give by Phone
You can make a gift by calling
503-222-2190

Give by Mail
You can also give by printing this form and mailing to:

NWCT
1819 NW Everett Street
Portland, OR 97209