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September 1, 2024
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Major Gift Initiative
Major Gift Initiative Registration
Registration Form for The Major Gift Initiative with Rabbi Brod
First Name
Last Name
Mosed
City
State
Country
Email
Cell
Your CC will be charged a $70 Registartion Fee
Payment Info
Card type:
Visa
MasterCard
American Express
Discover
Name as on Card:
Credit card number:
Expiration:
Month
01 - January
02 - February
03 - March
04 - April
05 - May
06 - June
07 - July
08 - August
09 - September
10 - October
11 - November
12 - December
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
CardID (CVV):
?
Card Billing Address:
City:
Zipcode:
State:
Country:
Email for receipt:
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