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Name:
________________________________________________________________
Address:
______________________________________________________________
City:
____________________________________State: ________
Zip: __________
Telephone:
_____________________Email:
_____________________________
Please make
check or money order payable to:
Sacred Hearts
Missions, Alive! - 77 Adams Street - Fairhaven, MA
02719
Tel. 508/993-1010
Alive!
- $15.00 (suggested donation) plus $4.00 Shipping &
Handling
Total - $19.00
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