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Freed=Middle=School=Music

Creating a Tradition of Excellence


Donor Information (please print or type)

Name
Address
City
State
ZIP Code
Telephone
Email

Donation Information

Donation Type (cash, check, gift card, material, service)_____________________

Donation Amount___________________

Acknowledgment Information

Please use the following name(s) in all Acknowledgments:

____ I (we) wish to have our gift remain anonymous.

Signature:
Date:

Please make Checks Payable to


Freed Middle School Music
Freed=Middle=School=Music
Creating a Tradition of Excellence
Tax Exemption Information (for donor to keep)

Donation Type
Donation Amount

Tax Exemption code (if applicable):

98-02777
School District NO 60
315 W. 11th ST
Pueblo CO, 81003

Thank you very much for your donation!

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