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Donor Receipt - Three
Donor Receipt - Three
Your American Cancer Society Thanks You For Joining the Fight Against Cancer!
1-800-ACS-2345 or
visit www.cancer.org
RECEIPT FORM This donation represents a cash
(PLEASE PRINT)
contribution for:
Cash Check
Participant’s Name:
Amt Received $
( ) Dr. ( ) Mr. ( ) Mrs. ( ) Ms. ( ) Miss
Date Received
Last Name
Received By:
First Name
Home Address Team Name (if applicable)
City__________________________ State______Zip Donor - White Copy ACS - Yellow Copy
Home Phone An official receipt and thank you letter will be
issued provided donor information is complete.
Email Address