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Log Contribution
Medical Oncology Associates Prescription Assistance Fund
Log
Hours
Donation
In-Kind
Your Name*
Email*
Contributions can't overlap each other.
Date & Time
From
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05
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AM
PM
Until
The end time has to be after the start time.
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05
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15
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25
30
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40
45
50
55
AM
PM
Total Time:
12
hours
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Photo
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For personal and org viewing only
Notes
Optional
Date
Donated
You must specify a donation greater than 0
$
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Photo
Make Public
Images will be shown in user activity and profile
For personal and org viewing only
Notes
Optional
Date
Type of In-Kind Donation
Food
Clothing
Computers
Software
Furniture
Office Equipment
Building Equipment
Legal Services
HR Services
General Consulting Services
Financial Services
Other
Value of In-Kind Donation
You must specify a donation greater than 0
$
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Photo
Make Public
Images will be shown in user activity and profile
For personal and org viewing only
Notes
Optional
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