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Name:....................................................................................Telephone:.............................
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Address:................................................................................State:........Zip:...............
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E-Mail Address:.......................................................................
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I/We pledge the following to the MCHS roof replacement project: Total amount of pledge: $...................
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I/We intend to fulfill the above pledge in the following manner: $....................(now)
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Please notify me of payment due each year in the month of $..................(..................)2007
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Please notify me of payment due each year in the month of $..................(..................)2008
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Memorial gift in memory of: Name...............................................................
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Signature:.....................................................Date......................
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