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Be a Friend, Give Ten is an easy way to make an automatic $10 monthly donation to Faith Family Medical Clinic. Your monthly donation makes a big impact, and helps the working uninsured in our community receive the primary medical care they need. Be a Friend, Give Ten!

Donation Form

Be a Friend, Give Ten $10 Monthly Donation

Donation Amount:

***CHECK THIS BOX TO SIGN UP:

Yes

Amount you would like to recur:

Frequency of donation:

Number of recurrences:

Date of your final recurring donation:

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Please confirm recurring donation:

"Be a Friend Give Ten" relies on the power of friends! Please share the name of the friend that referred you to this special campaign:*

I would like to recieve more information about Young Professionals, a fundraising and awareness social group at Faith Family:*

Yes

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