Donation form abn: 63 131 970 977 anzsa thanks you for your support. you are funding stillbirth research, the improvement of clinical practice as well as programs that increase awareness of stillbirth. together we can reduce the rate of stillbirth...
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14th annual taste to remember chef station commitment form thank you for your support! to show our appreciation, we will promote your establishment on the taste to remember event webpage and in the childrens hunger alliance monthly enewsletter....
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Conquer chiari donation form step 1: donation information $10 $25 $50 $100 $250 $500 other $ message (if in honor of someone, please include their address so that we may notify them) use of funds general/unrestricted research pediatric research...
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Contribution form name address city state email zip tel/fax: enclosed is my tax-deductible gift payable to the kennan institute: $ please charge my gift to: mastercard visa amex name on card: total amount: card number: exp. date: signature: my...
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P.o. box 44 810.659.4141 fax: 810.659.6964 membership application thank you for your support!! please check membership category business membership $195 nonprofit, club or service organization membership $100 additional business membership $50 for...
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Please select your redemption gifts by ticking the box next to it and fax the completed form to 6741 4669 our service personnel will contact you shortly on the collection of your gifts. redemption form thank you for your support and participation...
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Charity golf day at cowdray park wednesday, 25th may 2016. booking form. team name players names players handicap 1. 2. 3. 4. player 1 player 2 player 3 player 4 we are unable to attend but would like to make a donation to the aldingbourne trust....
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Thank you office of advancement 3501 enterprise square 10230 jasper ave nw edmonton, alberta t5j 4p6 for your support! tollfree: 18779927587 phone: 7804927587 fax: 7804921862 email: annual.giving ualberta.ca giving.ualberta.ca 1 tell us about...
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Join us for the animal shelter inc. of sterlings 1st annual whisker walk a multiorganizational walk for our furry fourfooted friends sponsor & vendor information signups will end may 1st no exceptions! join us for the 1st annual...
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Volume 2011 official publication of the american legion, department of arizona issue 3 thank you for all your dedicated support legionnaires, as my year is coming to a close, i want to thank all the committee chairs, area vice commanders, district...
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Cardinal club 2012-2013 membership application name address city,state, zip code telephone email address check one: $ active member (1 individual game pass) $ * 125 (check only) 225 (check only) patron (1 family game pass) $ 400 grand patron (1...
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Louisiana rural health association p.o. box 387 napoleonville, la 70390 (985)3693813 / (985)3693630 fax .lrha.org amount due: amount enclosed: $ organization: street address: city: state: zip: please select a category below according to your...
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U.s. department of homeland security 500 c street sw washington, dc 20472 july 2010 dear flood insurance manual subscribers: revisions have been made to the producer's edition of the nfip flood insurance manual that will become effective october...
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Thank you for your donation to support rvna please print out this form, fill it in and mail it along with your contribution to: ridgefield visiting nurse association, inc. 90 east ridge ridgefield, ct 06877 or fax is to (203) 431-6583 an...
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1st ever combined atlantic city and gettysburg 2015 gawda regional meeting this combined atlantic city and gettysburg gawda regional meeting will be held on september 9th/10th. this will be a valuable time for learning, connecting with peers in...
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