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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
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 firstname.lastname@example.org
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