Square Donation for Education form

What fund would you like to donate to?
Name
First NameMiddle NameLast Name
E-mail
Phone Number
Area CodePhone Number
Any additional comments?
Donation
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USD1
eCheck.Net Payment Settings
Bank Account Type
Routing Number Account Number
Name On Account Bank Name
Address:
Street Address
Street Address Line 2
CityState / Province
Postal / Zip CodeCountry
Should be Empty: