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I am making a gift of:
___ $20 ___ $30 ___ $50 ___ $100 ___ $
200 ___ $500 ___ $1,000 or
$ ___________ (Please indicate amount.)
Please fill in your name and address:
| Name |
________________________________________
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| Address |
________________________________________
|
| City |
________________________________________
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| State & Zip Code |
______________State____________ZipCode___
|
| Telephone Number |
________________________________________
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Please make your check payable to Georgia Perimeter
College Foundation, or fill in the following to charge your donation to your
credit card. American Express, Discover, MasterCard, and Visa are
accepted.
Account # _________________________________ Exp. Date
_______________
Name (as it appears on your credit card)
_________________________________
Signature _____________________________ Date
_______________________
This form should be sent via snail-mail to:
Georgia Perimeter College Foundation
3251 Panthersville Road
Decatur, GA 30034.
Thank you for your generosity.
Your support will help maintain the garden and continue
to bring in outstanding Lunch & Wildflower speakers
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