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    Online Financial Donation

      Your tax-deductible (501(c)3 # 522-444747) donation will help us fund the following programs
      for families of children stricken with cancer:

  • Toys, books, entertainment, and motivational materials
  • Housing assistance including utilities, rent, and mortgage
  • Financial support including clothing, groceries, medical bills, and transportation
  • Recreation therapy and day trips
  • The Annual Christmas Fantasy Flight

Donor Information
* First Name:
* Last Name:
* Address:
* City:
* State:
* Zip:
* Email:
* Phone:
Affiliation:
Badge #:
Please do NOT add me to the CCCF mailing list.
* Donation Amount:
 .00      
Social Security #:
 (Required ONLY for San Jose PD automatic payroll deduction)
* Donation Method:
 Visa      Mastercard      American Express       Debit Card      
* Card #:
       * Expiration Date:
* Security or CVV #: (3-4 Digit number from the back of the card)
 
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