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If you are already a donor and would like to remove yourself from our monthly donation list, please fill out this form.

Donation Amount*
Make this my monthly donation*
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We will automatically receive your gift each month.
Dedicate my donation.*
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Honor someone special with your gift.
Who do you want to honor with your donation?
Do you want to send an acknowledgement of this donation to a family member or someone else?*
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Address to receive acknowledgement*
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Donor Name*
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Donor Phone*
Donor Email*
BIlling Address*
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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