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{date_mdy}
Offering Amount: {Amount you are offering today:91}
Your Information
{Prefix:65} {First Name:66} {Last Name:67}
Spouse: {Spouse Name:61}
{Address:77}
{City:83}, {State:73} {Province:86} {Zip / Postal Code:76}
{Phone:52}
{Email:51}
Spouse: {Spouse Name:61}
{Address:77}
{City:83}, {State:73} {Province:86} {Zip / Postal Code:76}
{Phone:52}
{Email:51}
Company Name: {Company Name:53}
Offering Information
Offering amount:
{Enrollment offering amount:94}
Enrollment Information:
{Enter Enrollment Information:108:}
Enrollment Offering Options:
{Enrollment Offering Options:106}
Comments
{Your comments:36}
DISTRICT OFFICE
The Brothers of the Christian Schools
District of Eastern North America
444-A Route 35 South
Eatontown, NJ 07724
732-380-7926
giving@fscdena.org
AUXILIARY OFFICE
Brothers of the Christian Schools
St. La Salle Auxiliary
PO Box 238
Lincroft, NJ 07738-0238
732-842-4359
cards@DLSaux.org

