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Please complete the donation form, double check your information, then click the [Submit] button to go to our secure PayPal site. A confirmation will be emailed to the email address you provide immediately after making your payment. We appreciate you donating on-line because it eliminates potential mail problems & provides you instantaneous confirmation by email.

Donation Form

Fields marked with a * are required.
*First Name:
*Last Name:
*Confirm E-Mail:
2nd E-Mail:
Confirm 2nd E-Mail:

*Mailing Address:

Donation for Annual Fire Work Show: $
Donation for Earles Chapel Vol Fire Dept: $

After you click 'Submit' below and get to the next page, if you do not want to pay with a PayPal account, at the bottom of that page click on 'Pay with Debit or Credit Card'.

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