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Annual Giving Credit Card Payment Form
Company Name (if applicable)
Address Line 1
Address Line 2
Phone cell or home
Would you like to make this gift anonymously?
Name(s) as you would like it to appear on the gift acknowledgement.
Would you like to make this gift in honor/in memory of someone?
Yes, in honor of someone
Yes, in memory of someone
No thank you
Name of person(s) gift is made of memory of:
Name of person(s) to be honored: