2020 Pilgrimage Hardship Gift Nomination Form
Your name
First *
Last *
Phone *
Email *
Nominee Name
Who are you nominating?
First *
Last *
Nominee Phone *
Nominee Email *
Nominee Address
Street Address *
Street Address Line 2 *
City *
State *
Zip Code *
Country *
Use this space to tell us why you feel this individual or family should receive the donation
By submitting this nomination; I hereby certify that the responses and information provided in this nomination form are true and accurate to the best of my knowledge. I understand any omission or misstatement can result in the forfeiture of this gift. *
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