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I hereby authorize Sephardic Bikur Holim to charge my credit card the amount selected monthly for 12 months. You may cancel or change this amount at any time.
 Please mail a receipt to the address above (in addition to the receipt I will receive via email).
Only enter this field if you were told to do so by a staff member.
Sephardic Bikur Holim is a non-profit 501c3 organization.
Prizes are subject to change. For more information please contact