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Your Information Required fields marked with *
*First Name:
*Last Name:
give as a company or organization
*Country:
*Address:
Apt:
*City:
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*Postal Code:
*Email:
*Phone:
-
-
Account Information
*Amount $
(U.S.)
Purpose:
*Frequency:
*Draft Date:
Note:
*Account:
Checking (most effective)
Savings (most effective)
Credit Card
*Routing #:
*Account #:
Example Check Click image for help
*Card Type:
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*Name on Card:
*Expiration:
/
Billing Address is different from Mailing Address
*Country:
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Apt:
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Pv0616
“May the blessing you bestow on us return to you a hundredfold.”
Signature
Paula Veneklase
Director