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Name:
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Address:
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_________________________________________________ |
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City:
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_______________________________ |
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State:
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______________ |
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Zip:
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Email:
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_______________________________ |
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Donation Amount:
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$______________ |
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Donation Method:
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Cash Check Visa Mastercard AmEx |
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Credit Card Number:
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Expiration Date:
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/ 3 Digit Secuity Code |
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Cardholder Signature:
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Name on Credit Card:
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_________________________________________________ |
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Billing Address:
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| Is this donation in memory or in honor of someone? | |
| Yes No | |
| If yes, for whom? | |
| ___________________________________________ | |
| Is this donation for the General Fund or for the Scholarship Fund? | |
| General Fund Scholarship Fund | |
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Thank you for your contribution to the Naval Special Warfare Foundation.
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