Template:2012FR/Form-countryspecific-control/XX

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Donation amount (USD)

Just Once
Give Monthly

$5
$10
$20
$25
$50
$100
$250
Other

Template:Optin-dev Template:2012FR/Form-section/Paymentmethods/Creditcard Template:2012FR/Form-section/Paymentmethods/EWallet/PayPal

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