Confirm Donation
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Please print this page as confirmation of details provided on the previous page. If information is incorrect, please return to the form as noted below and resubmit data.

 

Gift Amount to PCC: $Gift Amt PCC

Gift Amount to Public Advocacy: $Gift Amt Public

Gift Amount to Leisure Ministries: $Gift Amt Leisure

Total Donation Amount: $TotalAmtDon

VISA: VISA  

MasterCard:  MasterCard

DISCOVER:  Discover

Name: Name

Mailing Address: Address

City: City 1         State: State 1    Zip: Zip 1

Email: Email 1

Telephone #: Phone 1

Cell #: Cell Phone 1

Denomination: Denomination 1

Comments: Comments 1

 

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Pennsylvania Council of Churches 900 S. Arlington Avenue, Suite 211A, Harrisburg, PA 17109-5024

Telephone 717.545.4761 Facsimile 717.545.4765 E-mail pcc@pachurches.org 

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