I wish to make a contribution of _________________ _____ This Year ______ Each Year
This gift is in memory of or in honor of _______________________ For tax purposes, acknowledgement of this gift should be sent to:
Name: _______________________________________ Address: ______________________________________ City, State: ____________________________________ Zip Code: _____________________________________ Phone: _______________________________________
_______ Please check here if you would like to be listed as an "Anonymous Donor" in any printed publication of donor recognition.
Make Checks Payable to: SISSETON AREA COMMUNITY FOUNDATION Mail to: Sisseton Area
Community Foundation
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