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Monthly Recurring Gift
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Comments/ Additional Information
Tribute Gift (optional)	(In Memory Of or In Honor Of)
Type of Tribute:
First Name
Last Name
	I would like to have an acknowledgement of my gift sent to:
Please Notify: (include name & address)

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KidsPeace is recognized as a 501(c)3 with the U.S. Department of Revenue. Official registration and financial information may be obtained from the Pennsylvania Department of State by calling (800) 732-0999 within Pennsylvania; in New Jersey, call the Charities Registration at (201) 504-6259; in New York, call the Attorney General’s office at (212) 416-8430; in Maine, call the State of Licensing and Registration office at(207)624-8603; in Georgia, call the Secretary of State’s office at (404) 656-2817; in North Carolina, call the Secretary of State’s office at (919) 807-2000; in Florida, call the Consumer Assistance Call Center at (800)435-7352