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Donation Form

Your Donation Amount:

$15.00$25.00$45.00$100.00$250.00

Donation Category:

I would like my donation to recur:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

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Calendar

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<<	<	February 2019	>	<<

February 2019
	S	M	T	W	T	F	S
5	27	28	29	30	31	1	2
6	3	4	5	6	7	8	9
7	10	11	12	13	14	15	16
8	17	18	19	20	21	22	23
9	24	25	26	27	28	1	2
10	3	4	5	6	7	8	9

Please confirm recurring donation:

I would like to donate anonymously:

Yes

I would like to be placed on your mailing list:

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I would like my donation to be placed in Memory of someone. (Please provide name and contact information for acknowledgment to be sent):

What SYL area do you wish your donations to go towards?*

Oregon
Washington

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