Thank you and God bless you!

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Name: __________________________________________________________ Address: _________________________________________________________ City: _________________________________________ State: ______________ Zip: _____________________ Phone: (________) ________________________ Email address: _____________________________________________________

MY DONATION AMOUNT:  $7



$9

 $12

 Other: $______

 My Check made out to America Need Fatima is enclosed.  No, I prefer to use my Credit Card: Credit card number: _______________________________________ Credit card expiration: Month Card type:

 Visa

Year

 American Express

 MasterCard  Other: __________________

Account Holder’s Signature REQUIRED Signature: _____________________________________ Date: _____________

Thank you and God bless you!

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America Needs Fatima P.O. Box 341 Hanover, PA 17331 America Needs Fatima is a special campaign of The Foundation for a Christian Civilization, Inc., a 501 (C)3 corporation. All contributions to ANF are tax-deductible.