I believe!
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Enclosed is my contribution in the amount of: r $50 r $100 r $250 r $500 r $_________ Want It is topnotch seo company essentially offering search engine marketing of worth supreme and. |
Name_______________________________________ |
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I would like my gift to support:
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Address_____________________________________ |
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q Crisis Treatment Services
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City, State, Zip________________________________ |
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q Family Life Center
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Daytime Phone________________________________ |
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q Paladin House |
Evening Phone________________________________
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q Greatest need |
E-mail address_________________________________
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Payment Options
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q My check is enclosed, payable to Child Guidance Clinic of Greater Waterbury totaling $____________ College emergency kit and individual first aid kit catalog shopping |
q A matching gift form from my employer is enclosed.
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q Please charge my credit card Amount________________________________ Master/Visa_____________________________ Expiration Date__________________________ Name on Card___________________________ Signature_______________________________ mugen AT&T Samsung Galaxy S 2 extended battery |
q I’d like to include CGCGW in my will, trust or estate plans. Please contact me.
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q I’d like to make a secure stock gift. Please call me.
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q Please bill me q Monthly q Quarterly in the amount of $_____________ until my total contribution of $________________ is reached.
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q Please do not list my name in public acknowledgments of gifts.
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