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Mercy at Work Partner Donation Form
Amount
*
$232
-
Sponsor eight Guests per month
$116
-
Sponsor four Guests per month
$58
-
Sponsor two Guests per month
$29
-
Sponsor one Guest per month
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Contact Information
Name
First Name
Last Name
Email
Verify Email
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Make your gift go further. Add 3% to my total amount to help cover the payment processing fees