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Please provide your name/organization as you would like it to appear in our promotional pieces.

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Please use the credit card billing address here. If you would like mail from Bright Lights to go to a different address, please provide it in the comments space below or email info@brightlights.org
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Visa®, MasterCard®, Discover® & Diners Club® cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

American Express® cardholders
Your security code is the 4-digit code located above the actual credit card number on your card's front.

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Cover the fee associated with this online transaction?
Cover the fee associated with this online transaction?
Your total payment will be
Your credit balance will cover
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In accordance with IRS guidelines, please note that Bright Lights has provided no goods or services in exchange for this contribution. Bright Lights is a 501(c)(3) non-profit organization, Tax ID 47-0708499. Your gift is tax-deductible to the full extent of the law. All donations are final and nonrefundable.

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