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Capital Campaign
Capital Campaign Donation Form
First Name:
*
Last Name:
*
Address:
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City:
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State:
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Zip:
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Evening Phone:
Day Phone:
Email Address:
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Donation Item:
- Please Select -
Hot Seat - $1,000
Additional Donation:
Inscription Information:
Hot Seats:
18 characters on each of 3 lines
Total:
Payment Plan:
Pay in Full
Pay in Three Payments
Pay in Six Payments
I/We grant permission for my/our name to be listed in various campaign reports and acknowledgement publications and wish to be officially listed as:
Note:
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