| Contact Information | |
|---|---|
| Name | Mariam Michael |
| Contact Email | Email hidden; Javascript is required. |
| Donation Amount | $1,500.00 |
| Would you like to make it a monthly payment? | Pay this amount one time |
| Total Due | $1,500.00 |
| Raffle Ticket Number | I will pick up the gift at Church |
| Credit Card Information | |
| Credit Card | AMERICAN_EXPRESS XXXXXXXXXXXX1005 Mariam Michael |
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