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Miscellaneous Payments

- Resources

Use to make a miscellaneous payment or donation to the Ordinariate
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Invoice Number Please enter valid data.
- Description of Payment REQUIRED Please fill out this field. Please enter valid data.
- Amount REQUIRED $ Please fill out this field. Please enter a positive decimal.
Total:

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