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For your
convenience, you may print out this page, fill it out and return it to the
address below. Thank you for making a gift to the Day School Endowment Fund.
Please make checks payable to:
St. Agnes Day School Endowment Fund
12801 West Fairmount Avenue
Butler, Wisconsin 53007
I would like to make a gift of $ _______________ to the St. Agnes Day
School Endowment Fund in the name(s) of the person(s) listed below:
| Name: |
___________________________________________
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| Street Address: |
___________________________________________
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| City, State and Zip Code: |
___________________________________________
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Special Occasion
or Memorial: |
_________________________________________________
_________________________________________________ |
Gift Card
Message: |
_________________________________________________
_________________________________________________
_________________________________________________ |
Donated by: (Name)
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_______________________________________________
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Home Phone:
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_______________________________________________
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Work Phone:
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_______________________________________________
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