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Contribution Form

Name:
Address:
 City, State, & Zip:
Memorial or Honor Name:
 Next of Kin Name:
Acknowledgement Address:
 City, State, & Zip:
Dear Fr. John:
I want to feed the hungry and care for the homeless and poor in our Nation's Capital. Enclosed is my contribution of:
 
$500 $50  
$250 $25  
$100 Other:    

Please make checks payable to:
SOME
71 "O" Street, NW
Washington, DC 20001

-- OR --

Please bill my credit card:

Visa    Mastercard    Discover (Novus)

Account No.:
 Expiration Date (MM/YY):
Signature:

Please fill this out, then print and mail to the address listed above.

Thank You!