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Donation Form

Donation Amount (if not listed below):

I would like my donation to recur:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

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Please confirm recurring donation:

Donor Name(s) to appear on acknowledgements, reports, etc.:

If this donation is in honor of someone, please add their name here.:

Add address of person being honored. An acknowledgement will be sent promptly (not including dollar amount).:

If this donation is in memory of someone, please add their name here.:

Add name and address of person(s) to receive acknowledgement of your memorial gift. The acknowledgement will be sent promptly (not including dollar amount).:

I would like to be placed on your mailing list:

Yes

I would like to be placed on your email list:

Yes

I would like to remain anonymous and I understand an acknowledgement will not be sent.:

Yes

Purpose of Donation:*

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