Delta Dental of Arizona Foundation

The Foundation offers the community several programs that focus on the oral health of children in Arizona.The Foundation's signature program is the Delta Dental Sealant™ Program which operates in three counties in Arizona, and funds dental screenings and sealants for uninsured second and sixth grade students. Your donations will help to fund this program as well as several other programs the Foundation supports to help children have healthy mouths.

Your contribution will be one hundred percent utilized to support local Arizona children.

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Step 1 - Cardholder Information  
First Name
Last Name
Billing Address
City
State
ZipCode
Telephone (Numbers Only)
Email Address for Confirmation

Step 2 - Donation Classification
 
Donation Type  
Contribution Comments

Step 3 - Credit Information
Credit Card Type  
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Security Code
Expiration Date /
 
Invoice Amount Due
Processing Amt
Transaction Amount
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Step 4 - Submit Transaction

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All Rights Reserved.