Auto Donation Form :

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Donor's Middle Name :
Donor's Last Name: *
Contact Phone No (1): *	(Residence,Work/Mobile Insert Atleast 10 digits)
Address: *
zip code(no space or hyphen) : *	(Insert Atleast 5 digits)
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Select Amount: *	Senior Member : $51 General Member $101 Lifetime Member 1101
Comment Section: *	( Send information to Priest for any Specific Instructions)