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Mother's Day Card Order Form
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Please enter your total Mother's Day donation in the box below.

The minimum donation for one card is $18.

Please enter your total Mother's Day donation in the box below.

The minimum donation for two cards is $36.

Please enter your total Mother's Day donation in the box below.

The minimum donation for three cards is $54.

Please enter your total Mother's Day donation in the box below.

The minimum donation for four cards is $72.

Please enter your total Mother's Day donation in the box below.

The minimum donation for five cards is $90.

Please enter your total Mother's Day donation in the box below.

The minimum donation for six cards is $108.

Please enter your total Mother's Day donation in the box below.

The minimum donation for seven cards is $126.

Please enter your total Mother's Day donation in the box below.

The minimum donation for eight cards is $144.

Please enter your total Mother's Day donation in the box below.

The minimum donation for nine cards is $162.

Please enter your total Mother's Day donation in the box below.

The minimum donation for ten cards is $180.

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Contact Information
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First Name
Last Name
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*

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Card #1 Information

First Name
Last Name

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
If nothing is selected, default will be In Honor Of


Card #2 Information

First Name
Last Name

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
If nothing is selected, default will be In Honor Of


Card #3 Information

First Name
Last Name

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
If nothing is selected, default will be In Honor Of


Card #4 Information

First Name
Last Name

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
If nothing is selected, default will be In Honor Of


Card #5 Information

First Name
Last Name

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
If nothing is selected, default will be In Honor Of


Card #6 Information

First Name
Last Name

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
If nothing is selected, default will be In Honor Of


Card #7 Information

Prefix
First Name
Last Name
Suffix

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
If nothing is selected, default will be In Honor Of


Card #8 Information

First Name
Last Name

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
If nothing is selected, default will be In Honor Of


Card #9 Information

First Name
Last Name

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
If nothing is selected, default will be In Honor Of


Card #10 Information

First Name
Last Name

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
If nothing is selected, default will be In Honor Of