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Get loma university church 2019-2024

MIC YEAR FOR WHICH FUNDS ARE APPLICABLE: Student's Full Name (No nicknames please) PLNU ID# (preferred) or Social Security Number Amount Enclosed (Please Check One) Fall and Fall Spring Spring Only Only 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. PLNU will match up to $250 per year (or $125 per semester). If you have more students than what this form allows, please attach an additional sheet with the above information. Return completed form with church check payable to PLNU to: PLN.

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