Template:2011FR/lp-form-monthlyonly

{{{gift-amount-text}}}

{{{donate-amount-0}}}	{{{donate-amount-1}}}	{{{donate-amount-2}}}	{{{donate-amount-3}}}
{{{donate-amount-4}}}	{{{donate-amount-5}}}	{{{donate-amount-6}}}	Other:

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{{{privacy-policy-text}}}

{{{other-ways-link}}}