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Description:
Donation Information
Amount:
$ 25.00
$ 50.00
$ 100.00
$ 500.00
Other
$
*
Designated Scholarship or Fund:
In Memory of Kathleen Lazar DeBerry Baskin
FM Annual Fund (Area of Greatest Need)
First Generation Fund
Other
Other
*
Additional Information
Type of gift:
One-time gift
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Frequency:
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On:
Sunday
Monday
Tuesday
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Ending:
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This donation is on behalf of a company
Anonymous:
I prefer to make this donation anonymously
Comments:
Billing Information
Title:
Dr.
Dr. & Mr.
Dr. & Mrs.
Drs.
Mr.
Mr. & Mrs.
Mrs.
Ms.
Representative
Senator
First name:
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Last name:
*
Country:
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*
ZIP:
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Phone:
Email:
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Confirm Email:
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Payment Information
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Credit Card Number:
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Card Type:
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Card Expiration:
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04
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09
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11
12
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