Mail-in donation form first name: last name: address: city: state: zip: email: daytime phone: i wish to remain anonymous. i would like to be contacted about volunteering. please forward my donation to this af?liate program of georgia casa: my...
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Pepsi challenge/gre rush/gr 10k race entry form march 7, 2015 please check race to enter: pepsi challenge 48k freestyle bib# great river energy rush 48k classic first name 24k classic giants ridge 24k freestyle 10k freestyle last name mi address1...
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Form for credit card gift by mail personal information name as it appears on credit card: *first name: middle initial: *last name: address information (as it appears for credit card billing) address: *city: *state: email: *phone: is this your home...
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Donation form upmc senior services a donation to upmc senior services in support of one of the programs listed below can assist older adults who are experiencing financial difficulties. if desired, donations may be made in honor of a relative or...
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Mailin contribution formin making a contribution to big brothers big sisters of kamloops & region you will makeit possible to support programs for mentoring children.your donation will be acknowledge with an official income tax deductible receipt...
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Miss america national platform donation form paper check mail-in form donor name: phone#: ( ) - address: city: state: zip code: email: contestant name: pageant: state: amount: $ . check number: checks made payable to: children s miracle network...
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Please print this form, fill out, and mail to: 290 summer street yarmouth port, ma 02675-1734 yes! i will help ifaw continue its work to protect animals from cruelty, threat and loss of habitat. enclosed is my gift of: $100 $50 $25 $15 other $...
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Team blaze booster club committed to competitive youth basketball program director derrick cross team blaze select head coaches al shields, tbs 2016 ron mcclendon, tbs 2018, team gray todd axsom, tbs 2018 cicero beemon, tbs 2019 aurora marin, tbs...
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Cascade christian schools development department 815 21st street se puyallup, wa 98372 phone: 253-841-1776 fax: 253-841-2232 date: donor information: name: spouse name: address: city: state: zip: home phone: work phone: cell phone: email address:...
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Mailin donation form thank you for your generous gift to seattle cancer care alliance. please print this form, complete the information, and mail it with your donation to: scca, p.o. box 19023, seattle wa 981091023 donor information name: address:...
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Semcac mail-in donation form your contribution is an investment in your community. it helps provide a hand up to individuals and families struggling to meet their most basic needs. please pledge your tax-deductible gift today and help us help...
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Texas governor's mansion restoration fund tribute gift donation form for making your donation in honor of someone special, the texas governor's mansion restoration fund, an irs approved charitable organization*, will send a personalized card...
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Mailin donation form thank you for considering a donation to special olympics illinois. your gift is a meaningful way to make a positive impact in the lives of people with intellectual disabilities. gift information donation amount (us$): $50 $100...
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Please mail this form to: fr. wasson legacy endowment, inc. nph usa 134 north la salle street, suite 500 chicago, il 60602-1036 or fax to: (312) 658-0040 to charge your gift by phone, call 1--201-0. please print all information date: i will...
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