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Pike Market Senior Center & Food Bank Donation Form

Donation Amount:

Donation Categories:*

I would like to make a recurring donation:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

Please confirm recurring donation:

Do you wish to add 2.5% to cover transaction costs?

$0.00

Total:

$0.00

Comments & Other Instructions: