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Donor Information
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First and Last Name
Company Name (only if gift will be paid by a business or organization)
Address
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Pledge Amount
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Payment Options
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Change Number of Months
Desired date for Monthly Credit/Debit Card or EFT gifts? ..................... (Beginning next month for Credit/Debit Cards)
Final Questions
May we use your first name on the air?
May we ask your age group?
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