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Mr.
& Mrs. |
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Ms. |
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Miss |
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|
Mrs. |
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Mr. |
| First
Name:__________________________________________________________________ |
| Last
Name:__________________________________________________________________ |
| Business
Name:_______________________________________________________________ |
| Address:____________________________________________________________________ |
| City:_______________________________________________________________________ |
| State:_______________________ |
Zip
Code:_________________________________ |
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Please use my gift where it is most needed |
| Please
direct my gift to: |
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Evangelical
Community Homes |
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Evangelical
Home-Saline |
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Evangelical
Home-Port Huron |
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Evangelical
Home-Sterling Heights |
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Brecon
Village, Saline |
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