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Designation
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In Honor Of
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Gift Note
If your gift is in honor or memory of a family member or friend, please list it below. If you would like the person or a family member to be notified of your gift (no amount will be included), please indicate their name and address below.
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Stock Name
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Number of Shares
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Approximate Value
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Contact Information
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First Name
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Middle Name
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Last Name
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Suffix
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Address Lines
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City
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State/Province
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Postal Code
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Phone
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Email
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Additional Information
Please expect a matching gift from my employer.
Please contact me about including FOCUS in my estate plans.
I would like to receive a monthly prayer calendar by email.
I am a FOCUS Alum.
Please send me information on Student Programs.
Please send me information on Volunteering.
Please remove me from your mailing list for fundraising purposes.
Upon submission of this form, you will be provided with the FOCUS account and DTC information.
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