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Charity Form

Reporting Month *

Reporting Temple *

Oasis of *

Temple Director *

Phone # *

Email Address *

Cash Donations *

Enter the cash amount donated

Donation Other Than Cash *

Enter the value of the donation

In-Kind Donations *

Total of All Donations *

Combine all Donations to get the total

Total Hours

Enter total charitable hours

Charity Comments *

Brief description of charities

# of Nobles on Roll *

Submitted by *

Submit

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