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$100 Donation Recipient
*We strongly suggest choosing an organization within 5 miles of your new home.
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Buyer's First Name
*
Your answer
Buyer's Last Name
*
Your answer
New Home Address
*
Your answer
What Type of Organization Would You Like the $100 Donation To Go To?
*
School
Fire Department
Police Station
EMS
Church
Veteran Center
K-9 Training Program
Name of Organization
*
Your answer
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