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YOUR INFORMATION1PLEDGE FORMNAMEYOUR CONTRIBUTION & PAYMENT OPTIONSFIRSTMILASTn MR. n MRS. N MS.HOME ADDRESSABLE OF BIRTH (MM/DD/YYY):CITYSCAPE. PREFERRED PHONEnMOBILEZIPnHOMEnWORKMY PLEDGE TO UNITED

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Your contribution amp payment is the amount of money you are required to pay towards a specific fund or project.

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Individuals or entities who are mandated by law to contribute to a particular fund or project are required to file their contribution amp payment.

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