Restoring hope for at risk youth and families since 1947
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THE PEOPLE
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1. Contact Information
E-mail Address:
I may be contacted by e-mail
Please do not contact me by e-mail
Please enter name and address as shown on Credit Card
First Name:
MI:
Last Name:
Address 1:
Address 2:
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Daytime Phone:
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2. Honor and Memorial Gifts
(Optional)
Type:
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MI:
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Additional Comments:
(regarding the acknowledgement letter).
Donor Name:
(if different from the name on the credit card).
Donor Address:
(if different from the address on the credit card).
3. Gift Amount
I want to make a contribution of:
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(U.S. Dollars)
4. Credit Card Information
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5. Optional Information
This gift is in response to the Phone Campaign
This gift is in response to the "Legacy of Hope"
Advancement Campaign
This is my monthly "Helping Hand" gift.
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People of Hope Harbor
Copyright 2005
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Hope Harbor
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Claremore, OK
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