VISA MASTERCARD (PDF)




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Title: Untitled 2
Author: Martina Wood

This PDF 1.3 document has been generated by Pages / Mac OS X 10.6.8 Quartz PDFContext, and has been sent on pdf-archive.com on 01/11/2011 at 07:11, from IP address 67.197.x.x. The current document download page has been viewed 1024 times.
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DONATION FORM

CSCL GYMNASIUM CAMPAIGN

YES, AL , I will help you make a difference in a young person’s
life by my tax-deductible contribution.
ONE TIME GIFT OF
$10,000

$5,000

$2,500

$

OTHER

MONTHLY CONTRIBUTION OF

$500

$100

$50

$

OTHER

GIVE BY CREDIT CARD
VISA

Master Card

AMEX

Expiration Date

CARD NUMBER

Signature

Your Name

Address

City

DISCOVER

State

Zip Code

Telephone

Email Address

GIVE BY CHECK (PAYABLE TO):
Comenius School for Creative Leadership or CSCL
Attn: Accounting - Gym
375 Star Light Drive
Fort Mill, SC 29715






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