Name |
________________________________________________________ |
Address |
________________________________________________________ |
City |
___________________ |
State _______ |
Zip________________ |
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Phone |
___________________ |
Email ________________________________ |
Method of Payment:
Check
Visa/Mastercard
American Express |
Amount |
$_____________ |
Credit Card # |
______________________________ |
Exp. Date _____________ |
Checks should be made payable to For
Love of Children and mailed with this form to:
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For Love of Children
Development Office
1763 Columbia Road, NW
Washington, DC 20009
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I would like my contribution to support this FLOC
program:
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I would like my contribution acknowledged as follows,
with a letter mailed:
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In honor of: |
Name:
__________________________________________ |
Address:
________________________________________ |
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In Memory of: |
Name:
__________________________________________ |
With Notification to: ________________________________ |
Address:
________________________________________ |
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Thank you for your kind support of For Love of Children,
a 501(c)(3) organization. Contributions in any amount are fully tax-deductible
to the extent allowed by the law.
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