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A Gift of Prayer

In Loving Memory Donation

A Gift of Prayer Card
A Gift of Prayer
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This beautiful Gift of Prayer Card will let someone special know you are thinking of them during times of need and sending them the gift of prayer through enrollment in the Graymoor Spiritual Union.


Yes, I would like to Enroll in the Graymoor Spiritual Union


* Required Field
s


Enrollee Name* :

(Suggested Donation $10)


Donation Amount* $
(numbers only, do not enter $ sign in box.)


VISA       Master Card        Discover       AMEX

Card Number* (numbers only, no dashes)
Expiration Date*
CVC/CVS* (what's this?)
First Name*
Last Name*
Address*
City*
State*
Zip*
E-mail*
 

(confirmation will be sent to this address)

Mail Enrollment to:

I already have the the card and will send it myself (a replacement card will be mailed to you).

Name
Address
City State Zip
Sign Card From


Please add/retain my e-mail address for future mailings.
(by unchecking this box you will not receive any emails from us.)




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