Gift Catalog Selection Summary

Replacement No-Touch Thermometers

$ amount

Name	Quantity	Amount	Subtotal
Name: Replacement No-Touch Thermometers	Quantity: 1	Amount: $500.00	Subtotal: $500.00
Total:			$500.00

Would you like to add an additional amount to cover transaction fees?

first name

last name

email address

street address

city

state

postal code

phone number

country

Donation Amount