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* 1. Please enter your full name.

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* 2. Please enter your address (Street, City, State, Zip Code).

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* 3. Are you pledging:

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* 4. If you are pledging with someone, please list their name below.

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* 5. How often do you contribute to Beautiful Savior?

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* 6. Please enter the amount you would like to pledge for 2021.

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