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MY INFORMATION:
MY RESPONSE:
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Address:
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You may also give online at www.iteams.us/give, or by automatic withdrawal on the reverse.
MY INFORMATION:
MY RESPONSE:
Name:
Address:
City:
ZIP:
State:
Phone:
Email:
You may also give online at www.iteams.us/give, or by automatic withdrawal on the reverse.
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transfer date:
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transfer date(s):
7th
15th
21st
28th
TODAYS DATE
(optional)
NAME
CHECKING ACCOUNT*
SAVINGS ACCOUNT*
ADDRESS
OPTION 2
CREDIT CARD
transfer date:
VISA
Card number:
10th
20th
MasterCard
AMEX
Discover
CITY
STATE
HOME PHONE
DAY PHONE
Exp. date:
/
Month
Year
ZIP
TODAYS DATE