LGN Donation Form

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*Donations are Tax Deductible
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Address*

Street Address

Street Address Line 2

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New Member Application FeeLGN Renewal FeeWhere Most NeededDr. Travis Ministry SupportMissions - GeneralTechnology DevelopmentRegional DevelopmentOrphanage - Quinta BetelOther

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Street Address

Street Address Line 2

City

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Postal / Zip Code

Country

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