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Personal Information
| Currency: | Quetzales Dollars |
| Thank you for donating as it will contribute in providing pure water to one or more families in the Guatemalan community. |
$ 37.50
$ 75.00 $ 150.00 $ 200.00 or amount of $
Q 275.00
Q 550.00 Q 1,100.00 Q 1,650.00 or amount of Q |
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Ecofiltro's cost $ 37.50 + shiping and handling |
Maximum per transaction $ 200.00 |
| * Name: | |
| * Email: | |
| Phone | |
Credit Card Information
| * Available Credit Cards: |
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Credit card number
(excluding "-" ): |
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| Expiration Date: (mm/yyyy) | ||||||||||||||||
Review of your Payment Order
| Name : |
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| Email : |
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| Credit card number: |
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| Expiration date: |
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| currency: |
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| amount: |
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