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Please pint this form, fill it out and mail/fax it to the address listed below.
Name/Name of Organization__________________________ Contact Person_____________________________________ Phone Number_______________________________________ Address____________________________________________ CHECK ONE Total Donation Enclosed $___________________ Monthly Donation $__________________________ Time Period_________________________________ COMMITMENT PLAN (describe how your donation will be made including time period) _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Total donation made or to be made $__________________________ Signature_____________________________________ Date____________________ Please print out this form and mail with your check to: Robert L. Chalfa, Treasurer Tel: (619) 470-2885 THANK YOU FOR YOUR GENEROSITY |