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Donate $10 a month to Student 2 Student

[[[["field12","equal_to","Yes"]],[["show_fields","field10"]],"and"]]
1 Step 1
First Nameyour full name
Last Nameyour full name
Did a School Refer You?pick one!
Do you have any Comments?more details
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Do you agree to donate $10 a month?pick one!

$10 a month will be withdrawed from your credit or debit card everymonth. If you'd like to cancel your plan please email us at student2student@helpiraq.org

$ {Field 14}
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