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Name
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First Name
Last Name
$
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Organization (Optional)
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$
$
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Address
*
$
Address Line 1
Address Line 2
City
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Email
*
$
$
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Donation
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$
Other
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Gift Designation
*
A: Traverse City Curling Center
B: General Curling Club Support
$
$
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Note
*
$
$
One Time
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Anonymous
*
$
Yes
No
$
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