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Hereworth Gift Form
Submitted by
admin
on Tue, 02/08/2011 - 14:35
Your Gift
I/we would like to donate a total of:
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$
My/ our donation will be paid:
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Method of Payment:
Please find enclosed my/our cheque payable to the Hereworth Foundation
I/we have made the donation via Internet Banking
Please email me account information
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Please send me a receipt for my donation
I would like my donation to go towards
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