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Attendee Information
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Address
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Pledge Information
Will you be attending the If'tar?
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I (we) pledge a total of $
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I (we) plan to make this contribution in the form of:
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Please make checks, corporate matches, or other gifts payable to:
Xavier Mission
55 W 15th Street
New York, NY 10011
with ‘Food Programs’ in the memo line.
Acknowledgement Information
Please use the following name(s) in all acknowledgements:
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I (we) wish to remain anonymous:
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