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importe de la contribución / contribution amount (USD)
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Total Amount
Donante / Donor
Nombre / First Name
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Apellido / Last Name
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Correo electrónico / Email
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Teléfono / Phone
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Credit Card
Card Type
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Visa
MasterCard
Amex
Discover
Card Number
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Security Code
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Expiration Date
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-month-
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Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-year-
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Billing Name and Address
Billing First Name
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Billing Middle Name
Billing Last Name
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Street Address
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City
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Country
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United States
Angola
Antigua and Barbuda
Argentina
Australia
Austria
Bahamas
Bangladesh
Barbados
Belgium
Belize
Benin
Bolivia
Bosnia and Herzegovina
Brazil
Burundi
Cambodia
Cameroon
Canada
Chad
Chile
China
Colombia
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Cyprus
Denmark
Dominican Republic
Ecuador
Egypt
El Salvador
Ethiopia
Fiji
Finland
France
Gambia
Georgia
Germany
Ghana
Greece
Guadeloupe
Guatemala
Guinea
Haiti
Honduras
Hong Kong
Hungary
India
Indonesia
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kenya
Kuwait
Kyrgyzstan
Lebanon
Liberia
Lithuania
Malaysia
Mali
Marshall Islands
Martinique
Mexico
Mongolia
Morocco
Mozambique
Myanmar
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Nigeria
North Macedonia
Pakistan
Palestine, State of
Panama
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Saint Helena
Saint Lucia
Saint Pierre and Miquelon
Senegal
Serbia
Sierra Leone
Slovakia
South Africa
Spain
Sri Lanka
Sudan
Sweden
Switzerland
Taiwan
Tanzania, United Republic of
Thailand
Timor-Leste
Tunisia
Turkey
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Ukraine
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United Kingdom
United States Minor Outlying Islands
Uruguay
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Yemen
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State/Province
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
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District of Columbia
Florida
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Maryland
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Michigan
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Northern Mariana Islands
Ohio
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Puerto Rico
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Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
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Wisconsin
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Postal Code
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