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Donation Information
My gift today is
in response to :
  Type of Donation 
  Please keep my donation Anonymous. 
Please complete the following fields if this is a tribute or gift.   
  Type of Tribute 
  First Name 
  Last Name 
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(include full name and address)

Contact Information
* First Name 
* Last Name 
* Address 
* City 
* State/Province 
* Zip/Postal Code 
* Home Phone 
  Work Phone 
  Cell Phone 
* Email 
  My Company Matches 
  Professional Title 
  I have interest in
Planned Giving 

Payment Information
  Payment Type 

Credit Card Information
  Card Holder Name 
  Card Account Number 
  Expiration Date 
* Security Code
Click here for CVV2 information 
  Store Account with SafeSave™ 
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Billing Address
  Same As Above 
* Address 
* Zip/Postal Code 

Recurring Donation Authorization: By selecting recurring weekly or monthly donations, donors authorize payments on their behalf from the
designated credit card to Loaves & Fishes Community Services. Donors will notify Loaves & Fishes Community Services if they decide to make changes, discontinue donations, or change credit card accounts.

Privacy Policy: We keep your personal information private and secure. When you make a payment through our site, you provide your name, contact information, payment information, and additional information related to your transaction. We use this information to process your payment and to ensure your payment is correctly credited to your account.

Contact Us: Loaves & Fishes Community Services 1871 High Grove Lane, Naperville, IL 60540 • (630) 355-3663 • donate@loaves-fishes.org

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