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DONATION FORM
Your Donation Is Tax Deductible



NAME: _______________________________________________
COMPANY: __________________________________________
ADDRESS: ____________________________________________
CITY/ST: _____________________________ ZIP: __________
PHONE: _______________________
E-MAIL: ______________________________________________

Check or Money Order payable to Hunt of a Lifetime Foundation

Amount enclosed: _______________________

Merchandise Donation:

Item(s): __________________________________________________
Fair market value of donation: ________________________________

Do you wish to have a receipt mailed to the above address? Yes _no

List additional items and value:
__________________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________

Mail To:

Terry A. Petko, Arizona Ambassador
Hunt Of A Lifetime Foundation
9221 E Baseline Rd
Suite A-109, #260
Mesa, AZ 85209

Receipt issued (Initial by issuing agent) _________ (Date) __________