The Catholic Community Foundation - - Tempe, AZ

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GIVING CIRCLE MEMBERSHIP FORM
- The maximum number of form submissions has been reached. This form is currently not available.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Date of Birth REQUIRED Please fill out this field. Please enter a date.
  
  Preferred Mode of Contact Phone Mail Email
  
  Parish Please enter valid data.
  
  Occupation Please enter valid data.
  
  Who Referred You? Please enter valid data.
  
  Membership Levels
  
  $500 ($41.67/month) for 1 vote
  $1,000 (2 votes for $83.33/month)
  $2,000 (4 votes)
  $10,000+ LIFETIME MEMBERSHIP (number of immediate family members – each get a vote)
  Gift to Forever Funds (money designation: Care, Community, or Life Forever Fund) or unrestricted.
  
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