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Town of Bernardston - COA
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Donation
Fitness Class
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Donation
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Donor's Last Name*
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Donor's First Name*
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Mailing Address*
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Mailing Address (continued)
City/Town*
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State*
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Zip*
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Contact Phone Number*
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Email Address*
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Special Notes
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Thank you for your donation! Your tax-deductible donation will help to make a difference in our
town. Please retain your payment confirmation for your tax records. No goods or services were provided in exchange for this donation.
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