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Sponsorship Levels

PIME Sponsorship Programs

Donation Amount:

Sponsorship at a Distance (SAAD)

% of

Mission Development Projects Medical (MDP-Medical)

% of

Mission Development Projects (MDP)

% of

I would like my donation to recur:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

Please confirm recurring donation:

A matching gift will be provided by:

This is a joint gift from myself and:

This donation is in Tribute to:

I would like to remain anonymous:

Yes

PIME Account Number: (if available):

Indicate any particular designation, such as FPMC child name/number, NS name and/or if donation is a gift:

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