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You can enter multiple names using "and" (i.e. John and Jane Smith).

First and Last Name
Address
City
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Zip/Postal
Phone Number
Email Address
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Selected Thank-you Gifts
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Recipient Information

Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
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Extension
Recipient Email
Delivery Date
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Recipient Information

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Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
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Extension
Recipient Email
Delivery Date
Message
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Recipient Information

Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
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Recipient Telephone
Extension
Recipient Email
Delivery Date
Message
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Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
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Extension
Recipient Email
Delivery Date
Message
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Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
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Extension
Recipient Email
Delivery Date
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Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
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Extension
Recipient Email
Delivery Date
Message
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Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
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Recipient Telephone
Extension
Recipient Email
Delivery Date
Message
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Recipient Information

Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
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Recipient Telephone
Extension
Recipient Email
Delivery Date
Message
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Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
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Recipient Telephone
Extension
Recipient Email
Delivery Date
Message
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Recipient Information

Recipient First Name(s)
Recipient Last Name
Address Line 1
Address Line 2 (Apt, Floor, Suite, etc.)
City
State/Prov
Zip/Postal
 - 
Recipient Telephone
Extension
Recipient Email
Delivery Date
Message
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This may be read on the air during our membership drive to encourage others to give. You can also use this space to let us know if you have notes about your donation, which won't be read on the air.
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