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Organization Name required

Email required

Phone

The primary contact is the person who should be contacted on behalf of the organization if any questions or issues about this transaction arise.

Primary Point of Contact for Transaction

First Name required

Last Name required

Phone required

Email required

Title/Role

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Terms and Conditions required

I have read and agree to the Terms and Conditions and Privacy Policy and give my consent to Community Action-Southold Town to process my personal data. I understand I can revoke this consent at any time.

Donor approves the payments of any charitable donations and/or purchases to Community Action-Southold Town in the amount set forth therein.

Subtotal:

Transaction Fees:

0.0

Total:

I will pay the fees

By paying the transaction fee, you ensure more money goes to your organization’s mission.

Your credit card statement will reflect charges from ‘CAST’

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Splash For CAST2

December 01, 2023 - February 10, 2024

1400 Silvermere Rd, Greenport, NY 11944, USA

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