Contribution Form

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Name:
Address:
City, State, & Zip:
Memorial or Honor Name:
Next of Kin Name:

Acknowledgement Address:

City, State, & Zip:

Dear Fr. John:

I want to feed the hungry and care for the homeless and poor in our Nation’s Capital.
Enclosed is my contribution of:

$1,000 $500 $250
$100 $50 $25
Other: 

Please make checks payable to:

SOME

71 O Street, NW

Washington, DC 20001

— OR —

Please bill my credit card:

Amex

Visa

Mastercard

Discover (Novus)

Account No.:

Expiration Date (MM/YY):

Signature:

Please fill this out, then print and mail to the address listed above.

Thank You!

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