Bernice Heiderman Memorial Fund
(So we can send you a tax receipt)
NOTE: We use Pay.gov as our trusted secure payment processor. We’ll send you on to there and bring you back when you finish.
OMB no. 0420-0564
Expiration date: 11/30/2020
This is a Secure Transaction
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Privacy Act Notice
This information is being collected pursuant to 22 U.S.C. 2501(a). This information will be used in processing your donation to the Peace Corps. Disclosure of this information is voluntary. Failure to provide sufficient information may preclude your consideration for the Peace Corps Partnership Program or other approved agency fundraising program. This information may be used for the routine uses described in the Privacy Act, 5 U.S.C. 552a, and the Peace Corps' published Routine Uses, summarized in Peace Corps' System of Records.