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Transaction
2
Personal information
3
Payment
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Donation in memory
Transaction
One-time gift
Monthly gift
Appellation of the deceased person
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Mrs.
Mr.
First name of the deceased
Name of the deceased
Would you like the familly to be informed of your donation?
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Yes
No
I wish to make a donation of:
$50
$75
$100
$250
$500
Subtotal:
Total:
$
I would like to donate:
$50
$50
$75
$75
$100
$100
$500
$500
Subtotal:
Total:
$
Total:
$
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Organization's registration number:
10293 3827 RR0001
Time remaining in your session:
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