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Date Organized <br />t4G0 <br />Religious <br />Organization <br />Charitable <br />Organization <br />❑ TAX FORM SENT <br />DATE <br />INV. A' <br />Corporation <br />Unincorporated Association <br />Signature jk,// / <br />Signature <br />l/NL.. __... _... ..............Date _ .. +.a <br />Title `..�S.1�Y—/X.i.aV�.,.. _..... ... _.. _............. <br />TELEPHONE AgEA HOME PHONE <br />NUMBERS <br />DATE OF OCCASION ......................... ...... <br />AREA 6USINES(S TEL NlO/. <br />NUMBER OF OCCASIONS <br />NEXT TWELVE (12) MONTHS ........................ <br />• <br />Veterans Organization <br />(non-profit) <br />Educational Organization <br />Civic Organization <br />❑Volunteer <br />Fire Company <br />Fraternal Organization <br />Other <br />Signature jk,// / <br />Signature <br />l/NL.. __... _... ..............Date _ .. +.a <br />Title `..�S.1�Y—/X.i.aV�.,.. _..... ... _.. _............. <br />TELEPHONE AgEA HOME PHONE <br />NUMBERS <br />DATE OF OCCASION ......................... ...... <br />AREA 6USINES(S TEL NlO/. <br />NUMBER OF OCCASIONS <br />NEXT TWELVE (12) MONTHS ........................ <br />• <br />