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I would like my contribution to be in memory of a deceased family member or friend.

I would like my contribution to be in honor of someone or to celebrate a joyous occasion.

I would like my contribution to be used for:
Social Service Programs Friendship Circle Holiday Events Community Outreach
Senior Services Free Loan Fund Youth Programs Holiday Gifts for the Poor - Kids in Need
Food and Housing for the Needy Fund

Personal Information

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Acknowledgement

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Please acknowledge my gift by mail to the above address.

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I want to make a Contribution of:			Recurring Contribution (optional)
$54	$108	$180	I want to make the greatest impact! Begin charging my credit card a monthly donation
$360	$720	$1,800	Please charge the above amount to my credit card on the first day of each month for the following duration:
$3,600	$5,400	$10,000		First month to be charged
Other				Last month to be charged