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Transaction
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Personal information
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Payment
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Post-COVID-19 Clinic
Transaction
One-time gift
Monthly gift
Gift type
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Clinique Post-Covid
Clinique Post-Covid
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$50.00
$250.00
$500.00
$1,000.00
Other
Other
$
I want my gift to remain anonymous
Yes
No
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Organization's registration number:
11892 9041 RR0001
Time remaining in your session:
15
Time remaining in your session:
15