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Name(s): _____________________________________ Date: ____________ Address: _______________________________________________________ _______________________________________________________________ Phone: (_____) _____________ Email: _______________________________ Amount of donation $ ___________ (please make checks payable to "FoGR"). [Optional] Areas of interest where you can help _______________________________________________________________ _______________________________________________________________
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Please mail the completed form to: FoGR, PO Box 1543, Gualala, CA 95445.
Thanks so much for your contribution.