Survey - FEY Change Request Form

FEY Change Request Form

Thank you so much for your monthly support. Sami Sheehan, Manager of Donor Engagement, will be reaching out to you within 48 hours, Monday-Friday 8:30am-5pm to confirm your monthly giving change.

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Name:

First Required	Last Required

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Email: Required

Phone Number:

Yes, I would like to receive e-mail from Lollypop Farm

Yes, I would like to receive postal mail from Lollypop Farm

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Question - Required - How would you like to change your monthly gift?:

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Question - Required - New monthly giving amount:

Question - Not Required - Additional information: