Annual Giving

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First Name:

Last Name:

Spouse First Name:

Spouse Last Name:

Email Address

Phone Number

Address Line 1:

Address Line 2:

City:

State:

Zip:

* Your Donation Amount:

To request the stock donation application, please email Kathy Wax at kwax@tbala.org

For donors of $3,600+ click here for info on our Jeremiah society

Total

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