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			Donation Form

	This is the form that RLHC will be using to process your donation from. To give us this form, copy and paste into a word document and then forward it to your email or paste it in to a guestbook entry. We will accept either way. If you place your donation form in a guestbook entry, please note that guestbook entries are checked before shown to the public. Your personal information will not be shown to the public.

Last name ______________________________ First Name ______________________________ Home Address ____________________________________ City __________________________ State ______ Zip Code ______________ Phone number (please include your area code as well) _______________________ What type of donation you are sending (can be a money donation or a toiletry donation- we do not accept credit card- only cash or check) _____________________________________ How you found out about our website _____________________________________ Any information you would like to reveal about yourself: ___________________________________ __________________________________________________________________________________ __________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ __________________________________________________________________________________ When you send this form, you will soon get a reply stating the company's address for you to send a cash or toiletry donation. This is only done for the organization's personal safety. Thank you for making a donation to RLHC!

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