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Yes, I
want to Adopt-a-Camper!
I wish to donate a full scholarship for three campers -
$4500
I wish to
donate a full scholarship for two campers - $3000
I wish to
donate a full scholarship for one camper - $1500
Enclosed is my
tax-deductible contribution of $ __________
My company will match my gift. I have enclosed the
matching gift form
My check, made out to MACH, is enclosed
Please bill my credit card
AMEX
MasterCard
Visa
Card Number:
___________________________ Expiration Date:
_________________
Signature:______________________________________________________________
Name:
________________________________________________________________
Address:
______________________________________________________________
City: __________________________________ State: _________ Zip:
____________
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