Once you completed your donation, please enter the following information in the form below and we will contact you to confirm your reservation is secured.
*Please include the information that you submitted with your donation
Lease or Purchase Reservation
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Now choose your reservation plan to match your donation
A Minimum of FIVE Machines and the maximum of TEN Machines per order and donation
How many Machines did you order for vending?_______ X $ 1.00 =
How many purchase reservation did you order?_______ X $ 5.00 =
How many purchase reservation did you order?_______ X $ 10.00 =
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