Santa Cruz Host Lions Club

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Donate to the Santa Cruz Host Lions  

Yes! I would like to donate to the Santa Cruz Host Lions
     

PERSONAL INFORMATION:

     
Full Name
:
Address
:
City / State / Zip
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Email
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Company
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Home Phone
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Work Phone
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DONATION INFORMATION:
     
Amount
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Purpose of Donation
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In honor of
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In memory of
:
Address to send acknowledgement letter to:
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Please enter any special instructions
(e.g., if you wish your donation assigned
to a specific program or purpose)