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Donation Information
Amount:	$ 1,000.00 $ 500.00 $ 250.00 $ 100.00 Other $     *
Designation:	Area of Greatest Need of Bethesda North Hospital Harold & Eugenia Thomas Heart Center Bethesda Women's Circle of Giving Liu Xiaoming Scholarship Fund Mary Jo Cropper Family Center for Breast Care Healing Touch Program Medical and Education Research Patient Emergency Fund Team Member Emergency Fund TriHealth Fitness and Health Pavilion Assistance Wilma Brown Scholarship Fund Other
Other	*
Additional Information
Type of gift:	One-time gift Recurring gift
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
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Anonymous:	I prefer to make this donation anonymously
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Card Type:	Visa American Express Discover MasterCard	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043	*
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Matching Gifts
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Type:	in honor of in memory of	*
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