Bucket Bailout Donation Form

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Don’t make them jump bail!

***Please note this form is a pledge to donate. The confirmation will have a link to pay your donation.***

Email *

All Bucket Bailout donations will be matched up to $50,000 by Ron and Darin Mittelstaedt through the

Donor first name *

Donor last name *

Donor phone # *

Who's bail would you like to donate to?

Don’t make them jump bail!

All Bucket Bailout donations will be matched up to $50,000!!
by Ron and Darin Mittelstaedt through the RDM Positive Impact Foundation

***Please note this form is a pledge to donate. The confirmation will have a link to pay your donation.***

How much would you like to donate to Andrea's "bucket bail"? Enter the amount right below my picture.

$25

$50

$75

$100

$250

$500

Other:

Clear selection

How much would you like to donate to Steve's "bucket bail"? Enter the amount right below my picture.

$25

$50

$75

$100

$250

$500

Other:

Clear selection

How much would you like to donate to Estee's "bucket bail"? Enter the amount right below my picture.

$25

$50

$75

$100

$250

$500

Other:

Clear selection

How much would you like to donate to Heather's "bucket bail"? Enter the amount right below my picture.

$25

$50

$75

$100

$250

$500

Other:

Clear selection

How much would you like to donate to Adrian's "bucket bail"? Enter the amount right below my picture.

$25

$50

$75

$100

$250

$500

Other:

Clear selection

How much would you like to donate to Scott's "bucket bail"? Enter the amount right below my picture.

$25

$50

$75

$100

$250

$500

Other:

Clear selection

How much would you like to donate to Bill Roby's "bucket bail"? Enter the amount right below my picture.

$25

$50

$75

$100

$250

$500

Other:

Clear selection

How much would you like to donate to Jennifer's "bucket bail"? Enter the amount right below my picture.

$25

$50

$75

$100

$250

$500

Other:

Clear selection

How will you pay for you donation? *

Through my company giving program

By mailing a check to Hands4Hope - Youth Making A Difference, 3941 Park Drive, Ste 20-264, El Dorado Hills, CA 95762

Online with a credit card or through Paypal (see link to donate once you submit this form)

Other:

What is the total amount you are donating? ***Please note this form is a pledge to donate. The confirmation will have a link to pay your total donation amount.***

If you are paying through your company giving program, will your company match your donation?

Yes

Clear selection

Note to those you are supporting or Hands4Hope:

Thank you!

Thank you for donating to set us free! If you chose to pay your donation online with credit card, click the link shown in the confirmation page after submitting this form. Or open this link in a new window, https://donorbox.org/route66bucketbail2020

A copy of your responses will be emailed to the address you provided.

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