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This recurring donation will process on 12th of every month.
If you have no occupation or employer, do not leave blank. For occupation use general terms such as 'manager', 'homemaker', or 'none.' If not employed by a company, use terms such as 'self', 'retired', or 'unemployed.'
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perjury under the laws of the City of Los Angeles and the state of California
that all of the following statements are true and correct.
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