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Gift Amount*	# of Payments	Payment Frequency	Total Gift Amount
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NOTE: This transaction will count as the first payment toward your total gift amount.

Donor Information
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Gift Note:
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Billing Information
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Additional Information
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YWCA South Hampton Roads
500 E. Plume Street, Ste. 700, Norfolk, VA 23510
info@ywca-shr.org | Phone: 757-625-4248 | Fax: 757-625-1946 | CRISIS HOTLINE: 757.251.0144
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