USA Donation & Agreement Form

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Your Information

Name*

First Last

Email*

Phone

Only used to contact you if email communication is not working

Address*

Street Address City State ZIP Code

I would like the finished gowns*

returned to me (up to 12 gowns, dependent on the size of dress)

NOT returned to me

Clean, Smoke Free, and Odor Free Dress*

My dress is clean (without multiple stains) and smoke free, and free of other strong odor. I understand that if my dress is not in good condition (smoke free, free of other strong odor, and without multiple stains), it may not be usable for the Angel Gowns Project.

Liability Agreement*

I understand that the dress(es) I supply to Real Imprints, LLC, will be cut and sewn into smaller Angel Gowns. I agree that I will not hold Real Imprints, LLC, The Angel Gowns Project, or any seamstress involved in the project liable for damage, loss, or other problems with the dress(es) I am providing.

Your Donation

Select Your Donation Amount:*

We request a minimum $100 donation per gown.

$100 donation

Other Donation

Other Amount

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Other Amount Total

Coupon

Make my donation go further. Please increase my gift by 3% to help cover transaction fees.

Yes, I would like to donate an additional 3% to cover the credit card transaction fee.

Processing Fee Donation Amount

Price: $0.00

Processing Fee Donation Amount

Price: $0.00

Total

Payment Information

Payment Method*

PayPal

Credit Card

When you click the submit button you will be directed to PayPal to complete your purchase.

USA Donation & Agreement Form

Your Information

Your Donation

Payment Information

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