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DONATIONS/MEMORIALS

Print this form out and mail it to the address below.

DONATION of $ ___________________

is given by ______________________________________________________________________________________

Address: _________________________________________________________________________________________

As a MEMORIAL Or a CONTRIBUTION

For:________________________________________
In Honor of:____________________________________

Please notify:______________________________________________________________________________________

Address:__________________________________________________________________________________________

Please mail this form with your donation to:

LFA, NORTH TEXAS CHAPTER
P. O. BOX 810310
DALLAS, TX 75381-0310

 

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