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Transaction
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Personal information
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Donations In Memoriam
Transaction
Information on deceased
Title
---
Mrs.
Mr.
Neutral gender
Does not identify to a gender
Name of deceased
Date of death (optional)
This person died at Maison Michel-Sarrazin
Do you wish for us to inform a member of the family of your donation?
Yes
No
Gift type
---
Donation In Memoriam
Amount
---
$25.00
$50.00
$100.00
$150.00
Other
Other
$
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Organization's registration number:
89408 3658 RR0001
Time remaining in your session:
20
Time remaining in your session:
20