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Donor Information Payment Information

# $
NAME
CHECK # CASH AMOUNT

ADDRESS M/C VISA AMEX

CITY/STATE/ZIP
$ CREDIT CARD #
PHONE/CELL
/
EMAIL DONATION EXPIRATION

AMOUNT
NAME/ADDRESS OF CARD HOLDER
Please indicate how you would like to be
For Online Giving Visit:
www.TheFerrerFund.com
SIGNATURE

I pledge to con- tribute


PLEDGE
Donations are tax deductible to the extent permitted by the IRS. St. Vincent Ferrer is a tax exempt organization as described in 501©(3) of the IRS Code

Donor Information Payment Information

# $
NAME
CHECK # CASH AMOUNT

ADDRESS M/C VISA AMEX

CITY/STATE/ZIP
$ CREDIT CARD #
PHONE/CELL
/
EMAIL DONATION EXPIRATION

AMOUNT
NAME/ADDRESS OF CARD HOLDER
Please indicate how you would like to be
For Online Giving Visit:
www.TheFerrerFund.com
SIGNATURE

I pledge to con- tribute


PLEDGE
Donations are tax deductible to the extent permitted by the IRS. St. Vincent Ferrer is a tax exempt organization as described in 501©(3) of the IRS Code

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