Giving Cards

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ORPHANetwork

Giving Information Name: Address: Signature: Type of Card: Credit Card Number: Expiration Date: Amount of Donation: $ This is a Monthly Gift This is a One-Time Gift Visa

1500 N. Great Neck Rd. Virginia Beach, VA, 23451

ORPHANetwork
Giving Information Name: Address: Signature: Type of Card: Credit Card Number: Expiration Date: Amount of Donation: $ This is a Monthly Gift This is a One-Time Gift Visa

1500 N. Great Neck Rd. Virginia Beach, VA, 23451

Date: MasterCard

Date: MasterCard

Thank Thank You!


You!

Thank Thank You!


You!

ORPHANetwork
Giving Information Name: Address: Signature: Type of Card: Credit Card Number: Expiration Date: Amount of Donation: $ This is a Monthly Gift This is a One-Time Gift Visa

1500 N. Great Neck Rd. Virginia Beach, VA, 23451

ORPHANetwork
Giving Information Name: Address: Signature: Type of Card: Credit Card Number: Expiration Date: Amount of Donation: $ This is a Monthly Gift This is a One-Time Gift Visa

1500 N. Great Neck Rd. Virginia Beach, VA, 23451

Date: MasterCard

Date: MasterCard

Thank Thank You!


You!

Thank Thank You!


You!

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