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Submitted URL: http://go.pardot.com/e/879782/y-080823-utm-content-body-btn3/4zb84/898047525?h=cWsjZKcy2QKbHK4xZiuu1rzXYJBHkofL7KTcGT...
Effective URL: https://give.epilepsy.com/page/55175/donate/1?utm_medium=email&utm_source=pardot&utm_campaign=aug24em_f_1a_sadie-kirk-stor...
Submission: On August 11 via api from BE — Scanned from DE
Effective URL: https://give.epilepsy.com/page/55175/donate/1?utm_medium=email&utm_source=pardot&utm_campaign=aug24em_f_1a_sadie-kirk-stor...
Submission: On August 11 via api from BE — Scanned from DE
Form analysis 1 forms found in the DOM
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<h1><strong>DONATE NOW!</strong></h1>
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<div class="subtxt-" style="text-align: center;"><span style="font-size:26px; color:#000000;">Your gift helps promote epilepsy education and training for our community.</span></div>
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<p>Many companies sponsor matching gift programs that increase the impact of your gift. See if your company will match your donation! (Optional)</p>
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</form>Text Content
DONATE NOW! Your gift helps promote epilepsy education and training for our community. $50.00 $35 $50 $100 $250 $500 other Make this a monthly donation Payment Currency Email Address for Your Electronic Receipt Many companies sponsor matching gift programs that increase the impact of your gift. See if your company will match your donation! (Optional) This gift is in memory of / honor of (optional) Is this in memory of or in honor of? In Memory Of In Honor Of Honoree Name Notification Recipient Name Recipient E-mail Address Notification Recipient Address Notification Recipient City Notification Recipient State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Notification Recipient Zip Code Special Message (optional) I am making a gift on behalf of my company Company name Proceed to Pay © 2021 Epilepsy Foundation®, is a non-profit organization with a 501(c)(3) tax-exempt status. * Privacy * Contact * www.epilepsy.com * Other Ways to Give CONTACT US Headquarters Address: Epilepsy Foundation 3540 Crain Highway Ste 675, Bowie, MD 20716 Phone: 1-800-332-1000 Email: contactus@efa.org FOLLOW US * Facebook * Twitter