Family Donation Form

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Please enter a valid decimal number as nnn.nn

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Individual Donor

Business Donor

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Yes

No

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Sign Up Party

Professional Services

Sports Tickets/Sport Outing

Gift Certificates

Vacation Rental/Frequent Flier Miles

New in Original Packaging Items

Other (described in definition above)

Committee will pick up item (you will be contacted)

Committee will create a certificate for this item

I will email certificate to acherouny@yahoo.com

I will mail to school 5241 36th St. N, Arlington, VA 22207

I will deliver to school (M-F 9am-4pm)

I will deliver to Anne Cherouny (at agreed upon time)