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Donations - Secure Online Donation Form

Campaign/Fund Information
Campaign/Fund * MANA PAC This Site Secured By SSL Encryption
Donation Information
Donation Amount *
Payment Method * Credit Card
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Employer Name *
Donor Comments
Donor Information
First Name *
Middle Name
Last Name *
Suffix
Organization
Email *
Address *
Address Cont.
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Country *
State
Postal Code*
Phone *
Billing Information
[ Click here if billing address is the same as donor address ]
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Organization 
Address *
Address Cont.
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Country *
State
Postal Code*
Billing Phone *

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MANA PAC
It is vital that we maintain support for the Certified Registered Nurse Anesthetists (CRNAs) profession throughout the year as issues can arise at any time that will impact the practice. The MANA Political Action Committee (PAC) funds are used to support candidates and improve educational opportunities.

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