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CITIZENS INTERESTED IN ARTS, INC. CONTRIBUTION FORM
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Enclosed
is my gift of:
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| ____$25 | ____$50 | ____$100 | ___$250 | ___
$ Other
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| Name of Person Honored: | ____________________________________
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| Anniversary
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_______ | Birth | _______ | ||||
| Birthday
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_______ | Get Well | _______ | ||||
| Graduation
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_______ | Holiday | _______ | ||||
| Marriage
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_______ | Memorial | _______ | ||||
| Promotion
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_______ | Thank You | _______ | ||||
| Please Send Acknowledgement to: | |||||||
Name |
____________________________________
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| Address | ____________________________________
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| City/State/Zip | ____________________________________
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| Donor's Name |
____________________________________
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| Address | ____________________________________ | ||||||
| City/State/Zip |
____________________________________ |
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Please make checks payable to:
Citizens Interested in Arts, Inc.