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Pacific Palisades Fire Relief Donation Form

Many members of Santa Monica Republican Women Federated have been impacted by the devastating Palisades Wildfire. We would like to help them. If you can help in any way - please complete the form below so we can get in touch with you and connect you with people in need.

Contact Information

* First Name
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* Last Name
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* Email Address
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* Cell Phone
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Donation Categories

* I am able to contribute in the following way(s).

You will be contacted first prior to sharing any information with club members. 

Comments
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