Name:       

Address:    

Address 2: 

City:              State:   AK AL AR AS AZ CA CO CT DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MD ME MH MI MN MO MS MT NC ND NE NH NJ NM NV NY PA OH OK OR PR RI SD SC TN TX UT VA VI VT WA WI WV WY AE AA AP     Zip Code:

Telephone:           Email:

I want to:

                    make a pledge of $        (indicate amount here)

                            I would like to pay it: Monthly     Quarterly     Annually

                    Make a pledge of stocks, bonds, or securities

                    Include the Sisters of the Order of Saint Basil the Great in my will

                    I'm not sure - please contact me!!

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