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Name *

Email Address *

Phone

Street Address *

City *

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School Affiliation *

Donation Purpose *General FundEducation FundWater TankHigh School Graduate AwardsPrimary SchoolsRobotics (Specify ALL, or FGC, FTC, FLL)Operation Restoration Christian SchoolIndustry Cove Basic SchoolOther (Please indicate in Comment section)

Amount of Donation *

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