Chambersburg Ballet Donation Form

Chambersburg Ballet Donation Form
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Corporate GiftPersonal Gift
Recognition Name (as you want it to appear in listings)
Ex: John and Jane Doe
I/we prefer to remain anonymous in public listings
Business Name (as you want it to appear in listings)
Contact Name*

First NameLast Name
Email*
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Phone Number
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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Payment Information
IMPORTANT: You MUST complete payment on the next page for your donation to be fully submitted. You will be directed to PayPal to complete payment using a PayPal account or a credit/debit card.
Your Gift*

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