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Donation Impersonal INFORMATION: Name Address CityStateZipPhone Number Email Address Your name(s) as you would like it to appear in our programs and on our website: I am interested in receiving emails

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Start by writing your first name in the designated space.

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The term 'your names as you' typically refers to the information you report for personal identification or legal documents.

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The information typically includes your full legal name, address, date of birth, and Social Security number (if applicable).

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