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DONATION FORM (Print out and complete)
Name _______________________________________________________ Address _____________________________________________________ City __________________________________ State ____ ZIP _________ Phone ______________________ email_____________________________ Mail form to: Ludington Visiting Writers 310 N. Ferry St. Ludington, MI 494321 □ Visa □ Mastercard □ Check Amount to be donated ___________________________________________ Card number ____________________________ Expiration date __________ _______________________________________ Date _________________ Signature
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