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Please complete the information below,
including your team or church name.
Donation Information
Amount:
Individual Room and Board Fee
$ 470.00
Group Donation
$ 2,500.00
$
*
Program:
Individual Room and Board Fee
Group Donation
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Frequency:
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Monthly
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On:
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Tuesday
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Saturday
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Ending:
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Billing Information
Title:
Admiral
Ambassador
Bishop
Brother
Cantor
Capt.
Cmdr.
Col.
Director
Dr.
Drs.
Father
Fr.
General
Governor
Judge
Lt.
Lt. Col.
Madam
Major
Master
Miss
Mother
Mr.
Mrs.
Ms.
Pastor
Prof.
Rabbi
Senator
The Honorable
The Rev.
The Rev. Canon
The Rev. Canon Dr.
The Rev. Dr.
The Revs.
The Rt. Rev.
The Venerable
The Very Rev.
The Very Rev. Dr.
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