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

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Donation amount (USD)

Just Once
Give Monthly

$100
$200
$400
$1000

$1500
$2000
$5000
Other

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

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