FORM : S.F. Valley Interfaith Council FAX NO : 818 718-0734 Wed, 14 May 2008 20:49:29 -0700
 
 
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Gift Amount
  $1000     $500     $250     $100     $50     $25     Other  
 
Please specify below if your donation is for general purposes, where most needed, or, if for a specific program, name the program. If your donation is for your participation in a special event, please specify the event below (ie., Human Relations Awards Dinner, Charity Golf Tournament, Choir Concert, Annual Appeal, etc.). If you wish to make a donation in honor of someone, please enter the information below (including an address) and an acknowledgement of your gift will be sent.   
 
Donation Amount     
 
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Donor Information    
 
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Credit Card Expiration : *      
 
Billing Information           If the billing information is the same
           as the contact information check
           this box. If not please fill out the
           information below :
 
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   Yes, please send me the monthly VIC news containing
               The latest news about VIC and how my support is helping the community
 
 
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