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Recipient of Charitable Donation Application.

First Name

Last Name

Full Address / City / zip code / Apt#

Email

Phone

Date

How many people reside in your household?

Initials

Social Media

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0-2

20200829_103341

20200829_103341

1-8

c0c4f99c43c2f0b5ac5a5a3d92bcfdff

c0c4f99c43c2f0b5ac5a5a3d92bcfdff

0-2

20200829_103341

20200829_103341

1-8

c0c4f99c43c2f0b5ac5a5a3d92bcfdff

c0c4f99c43c2f0b5ac5a5a3d92bcfdff

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donations are tax deductible. Employer ID Number:06-1335823