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Rev. Marilyn Roth Legacy Meditations

Donor Information

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Billing Address

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I am giving this as a gift.

You may enter up to five (5) recipients below.

First Name of Recipient

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First Name of Additional Recipient

Last Name of Additional Recipient

Recipient email address

First Name of Additional Recipient

Last Name of Additional Recipient

Recipient email address

First Name of Additional Recipient

Last Name of Additional Recipient

Recipient email address

First Name of Additional Recipient

Last Name of Additional Recipient

Recipient email address

REGISTRATION INFORMATION

# of Marilyn Roth Meditation gifts you are ordering ($25 per gift)

Would you be willing to cover the 3% online processing fee?

Yes

No

We are grateful for any additional donations made to the Marilyn Roth Legacy Fund. With your gift, we move forward together.

Yes

No

Contribution Details

Frequency of Your Donation

One-Time Donation

Recurring Donation (monthly)

Recurring Donation (every 3 months)

Recurring gifts will occur perpetually until you notify our office to stop payments. You may provide special instructions in the "Donor Notes" field below.

One-Time Amount

$10

$25

$50

$100

$250

$500

Other…

Please enter your amount $

Monthly Recurring Amount

$5/month ($5.15/month charged)

$10/month ($10.30/month charged)

$25/month ($25.75/month charged)

$50/month ($51.50/month charged)

$100/month ($103/month charged)

$250/month ($257.50/month charged)

Quarterly Recurring Amount

$50/quarter ($51.50/quarter charged)

$125/quarter ($128.75/quarter charged)

$250/quarter ($257.50/quarter charged)

$500/quarter ($515/quarter charged)

$1000/quarter ($1030/quarter charged)

$1,250/quarter ($1287.50/quarter charged)

Frequency of Your Donation

One-Time Donation

Recurring Donation (monthly)

Recurring Donation (every 3 months)

Recurring gifts will occur perpetually until you notify our office to stop payments. You may provide special instructions in the "Donor Notes" field below.

One-Time Amount

$10

$25

$50

$100

$250

$500

Other…

Please enter your amount $

Monthly Recurring Amount

$5/month

$10/month

$25/month

$50/month

$100/month

$250/month

Quarterly Recurring Amount

$50/quarter

$125/quarter

$250/quarter

$500/quarter

$1000/quarter

$1,250/quarter

Payment Information

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3053 E Del Mar Blvd
Pasadena, CA 91107
626-577-4207

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