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86.4. 52.4 CRO-1210 - Individual Contributions

52.4. CRO-1210 - Contributions from Individuals

 

1 - Donor Name

2 - Donor Address

3 - Donor Occupation

4 - Donor Employer

5 - Bank Account Code

6 - Method of Payment

7 - Contribution Date

8 - Contribution Amount