Annual Fund

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Amount of Donation:

Would you like to honor or memorialize a special individual with this gift?

In Honor of:

In Memory of:

Occasion:

We would be glad to send an acknowledgement of your gift to the person you list below:

Name:

Address:

City:

State:

Zip:

May we acknowledge your donation in our League publications?

YesNo

Does your or your spouse's employer have a matching gift program?

YesNo