2023 Pilgrimage Hardship Gift Nomination Form

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Email *

Name

Your name

First *

Last *

Phone *

Email *

Nominee Name

Who are you nominating?

First *

Last *

Nominee Phone *

Nominee Email *

Nominee Address

Street Address *

Street Address Line 2 *

City *

State *

Zip Code *

Country *

Story/About

Use this space to tell us why you feel this individual or family should receive the donation

By submitting this nomination; I hereby certify that the responses and information provided in this nomination form are true and accurate to the best of my knowledge. I understand any omission or misstatement can result in the forfeiture of this gift. *

All information is true and accurate

Send me a copy of my responses.

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