Template:2012FR/Form-countryspecific-annual/BR

Donation amount (BRL)

How often would you like to donate?

• Just Once
• Give Monthly
• Annual

Donation amount (BRL)

• R$ 10
• R$ 20
• R$ 30
• R$ 50
• R$ 100
• R$ 200
• R$ 300
• Other

Please select an amount (minimum $1)

We cannot accept donations greater than USD $4 ($1 $2) through our website. Please contact our major gifts staff at $3.

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