ENCLOSED IS MY CONTRIBUTION OF $______________ DATE____________
THIS CONTRIBUTION IS FOR
| FRIENDS MEMBERSHIP.................. | NEWSLETTER............................. |
| BUCK-A-MONTH.............................. | OTHER......................................... |
FROM: NAME____________________________________________________
ADDRESS________________________________________________
FOR A MEMORIAL GIFT
IN MEMORY OF____________________IN HONOR OF_______________________
PLEASE SEND ACKNOWLEDGEMENT TO:
NAME____________________________ADDRESS___________________________
CITY_________________ZIP__________________
ACKNOWLEDGEMENT OF YOUR GIFT IS SENT
WITH NO AMOUNT MENTIONED
All gifts to the Canby Adult Center are tax deductible
in accordance with 501-C-3 Tax ID#93-0943494