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Get 2012 Pledge Form - Mercy

Crystal ornament, inscribed with a tribute/memorial information as indicated. Lights of Love Enclosed is my gift to the Lights of Love Campaign for Mercy Hospice: m $25 m $50 m $100 m $500 m $1,000 m Other m Check enclosed, made payable to Mercy Health Foundation m Credit card number Exp. Date m Amex m Discover m MasterCard m Visa Signature Three Digit Security Code Please designate my.

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