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Diocese of Bismarck, North Dakota Last Supper Photo To be Ambassadors for Christ in Word and Sacrament
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Fee Payment Form

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PR # (Case #)
Amount Paid Now
First Name
Last Name
Address
City
State
Zip
Phone
Email
Payment Method credit card
checking account
Card Type
Card Number
Expiration Date
Name on Card
 
Bank Name
Account Type checking
savings
Account #
Routing Number
Where can I find these numbers?
Gift to be taken out: 5th of month
20th of month
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