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   THANK YOU FOR SUPPORTING PROJECT BRASIL!

 


 

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Thank you for your interest in supporting Project Brasil.
If you prefer, you can send a donation to:
Project Brasil | 9855 SW 184th Street | Palmetto Bay, Florida 33157

MONTHLY DONATION: I want to support Project Brasil monthly

ONE TIME DONATION: I want to support Project Brasil with a one-time gift.


FIRST NAME


CHURCH/ORGANIZATION


CITY


PHONE


LAST NAME


ADDRESS

   
STATE            ZIP/POSTAL CODE


EMAIL ADDRESS

If you want to support Project Brasil with a monthly gift, please specify the amount you wish to donate each month.

$.00 MONTHLY

If this is a one-time gift,
please enter the amount here.   

$.00 One-time gift

 

 PLEASE CHOOSE A CARD TYPE
Visa  MasterCard Discover American Express


CARD NUMBER


EXP DATE (mm/yy)


Include any additional comments here.

By pressing submit you authorize Project Brasil to charge your card in the amount indicated on this form. A receipt will be emailed to you via email in 24 hours. Thanks for your support!

 

 

 

 
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