Fund A Cure

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Package Name	Amount	Quantity	Subtotal

$25,000 Fund A Cure	$25,000.00		$0.00



$10,000 Fund A Cure	$10,000.00		$0.00



$5,000 Fund A Cure	$5,000.00		$0.00



$2,500 Fund A Cure	$2,500.00		$0.00



$1,000 Fund A Cure	$1,000.00		$0.00



$500 Fund A Cure	$500.00		$0.00



$250 Fund A Cure	$250.00		$0.00



$100 Fund A Cure	$100.00		$0.00



$50,000 Fund A Cure	$50,000.00		$0.00



$15,000 Fund A Cure	$15,000.00		$0.00

Yes, I would like to contribute to Fund A Cure

Amount:

Total:

$0.00

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