Template:2012FR/Form-countryspecific-control/HR

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Donation amount (USD)

Just Once
Give Monthly

$35
$50
$100
$250
$500
$1000
$1500
Other

Template:2012FR/Form-section/Paymentmethods/Creditcard Template:2012FR/Form-section/Paymentmethods/Banktransfer

Template:2012FR/Form-section/Infobox

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