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NMRA |
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| Person Being Honored: | ||||
| Occasion: | Deceased | Get Well | Good Friend | Memorial |
| Wedding | Anniversary | Birthday | Holiday | |
| Graduation | RBaller | Other | ||
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Please send an acknowledgement card, for person being honored, to: |
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| Name: | ||||
| Address: | ||||
| City: State: Zip: | ||||
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(The
amount of your gift is shown only on the receipt sent to you) |
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Check here if you wish to remain anonymous. Check here if you would like additional TRIBUTES envelopes |
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TRIBUTES TO FRIENDS Enclosed is my tax deductible gift of $ payable by check (to "NMRA") or credit card |
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| VISA M/C AmEx Discover Other | ||||
| Card Holder's Name: | ||||
| Card #: Exp: | ||||
| Contributor's Name: | ||||
| My Name: | ||||
| My Address: | ||||
| City: State: Zip: | ||||
| Ph: Fax: Email: | ||||
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Steve Cohen, NMRA Treasurer |
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