Contact Info 

First Name Last Name
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I would like to donate $   

Recurring donation: 
 Please charge the above amount to my credit card each month for the next twelve months.
 I would like to join the friendship club and automatically donate $18 every month for one year.

Please send  acknowledgment tribute card(s) on my behalf
(Available for donations $10 and above each)

Total: $0.00
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