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Donor Form |
INDIVIDUAL Please Print
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Name:
(Mr., Mrs., Ms., Miss) |
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Address:
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. | _________________________________________________ | |
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City:
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. | ________________________________ State: ________ | Zip Code:___________ |
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Telephone:
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. | (____) ________________ | |
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E-Mail:
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_______________________________ | ||
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I am a:
(Check One) |
. | __-Daughter __-Son __-Widow __-Veteran __-Other Relative/Friend- |
____________________ (Please specify relationship) |
ORGANIZATION
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Name of Organization:
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. | ___________________________________________ |
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Contact Person- Name:
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. | ___________________________________________ |
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Address:
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. | ____________________________________________ |
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City:
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. | ______________________________ State: _____ Zip Code: __________ |
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Telephone Number:
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. | (___) ____- _________ |
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E-Mail:
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. | ______________________________ |
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How did you find out about the
trip?:
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__-"Legacies" Newsletter
__-SDIT E-Mail __-Browsing SDIT Website __-Newspaper/Magazine Article __-Word of Mouth __-Other-____________________________ |
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I can donate the following services:
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We will be making monatary donation:
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___ The Check is enclosed |
| $1,000: _____ | $500: _____ | $100: _____ | $50: _____ | $20: _____ | Other: _____ |
| ___ Please send me a receipt. |
IN Memory-Honor of :
If you wish to make your donation in someone's/a military unit's memory or honor, please fill out the information below
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Name:
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. | ______________________________________________________ |
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Branch of Service
(If Applicable): |
. | __-USA __-USAF __-USMC __-USN __-USCG |
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(Miltary Unit):
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______________________________________________________ |
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Make
your checks and money orders payable to:
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Created 061601