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Contribute to PAMS Polyclinic - Chincha

Entering your contact information allows the organization to acknowledge your generous contribution. Specify the contribution amount and an optional comment. Depending on the configuration, you may also be able to specify if this should be reported as anonymous (although your contact information is still required.) Click Proceed to Payment to finalize and pay by credit card or by printing an invoice and mailing a check.
Your donation helps us continue our work in Perú! 

Please note:  Donations are in U.S. dollars.  Please use a period ( . ) not a comma ( , ) at the decimal point when entering the donation amount.  
Examples:  $50.00 or $1000.00    

Only fill out required fields (with red dot) to save time.
Make sure your email address is correct to receive your donation confirmation.  

Please add "In Honor of" or "In Memory of" in Contribution Details Comments.  

Thank you for your support of PAMS!
Society Member?  

In addition to your name, please enter your address, phone number and email address. This will allow us to contact you if necessary.
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Contribution Details

Contribution Date
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Amount (US$)
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Amount must be equal to or above US$ 1.00
Comment
Do you want this reported as an anonymous contribution?
How do you want your name to appear in the contribution records?
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