<div class=”donation-form”>

    <h2>Donation Form</h2>

    <p class=”info-text”>

        To support Poetry Flash, our non-profit 501(3)(c), please fill out the form below. If you’re mailing a check to:

        <address>

            14504 Fourth Street, #4, <br>

            Berkeley, CA 94710,

        </address>

        please add “Petaluma Poetry Walk” in the memo line.

    </p>

    <p class=”direct-donate”>

        Or directly donate to Poetry Flash by <a href=”https://poetryflash.org/give” target=”_blank”>clicking here</a>.

    </p>

    <form action=”/submit-donation” method=”post”>

        <label for=”name”>Full Name:</label>

        <input type=”text” id=”name” name=”name” required>

        <label for=”email”>Email:</label>

        <input type=”email” id=”email” name=”email” required>

        <label for=”address”>Address (Optional):</label>

        <textarea id=”address” name=”address” rows=”4″></textarea>

        <label for=”phone”>Phone/Text (Optional):</label>

        <input type=”tel” id=”phone” name=”phone”>

        <input type=”submit” value=”Submit Donation”>

    </form>

</div>

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