Gifts to the CFANAC

Gifts to the CFANAC

(To print this form, only, click on the text and then use your normal print options)

Please print and use this form for contributions, memorial gifts, or for honoring you friends and family on special occasions. A beautiful card will be sent to them in your name.

Once completed, mail this form and gift to:

Central Florida ANAC Chapter
1516 E. Colonial Dr. Suite 210

Orlando, FL 32803

Please accept my tax deductible contribution of $___________

___ Check Enclosed (Please make payable to Central Florida Chapter of ANAC. )

___ VISA or ___ MasterCard

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All contributions are tax-deductible as allowed by law.

Your Name: ___________________________________________________________

Address: _____________________________________________________________

City: ____________________________ State __________ Zip __________

E-mail Address: _____________________________________________ (To be held in privacy)

My gift is made:

In Memory of: _________________________________________________________

In Honor of: _________________________ for the occasion of ________

__________________________________________________________

Please Notify :

Name _____________________________________________

Address ___________________________________________

City_____________________________State____________Zip__________

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I've enclosed a picture, and statement of sentiment. You have my permission to include these in the website Faces of Giving. Please send me a link at ____________________________________ (address held in privacy)

...We thank you for your generosity...