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First Name: * |
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Last Name: * |
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E-mail Address: * |
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City: |
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Demographic Information: |
Gender: |
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Date of Birth: |
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Income: |
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Donor Information: |
Do you donate money regularly to non-profit agencies or charities? |
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Do you donate money regularly to political parties? |
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Which party do you donate to? |
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What type of charities do you donate to? |
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Do you volunteer work to any charities? |
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How much money do you donate a year to political parties or charities? |
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