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DONATION REQUEST

ORGANIZATIONíS NAME: _____________________________

DATE: _____________________

CONTACT PERSON: ______________________________

ADDRESS:_______________________________________

            _______________________________________

PHONE: ________________________________________

EMAIL: ________________________________________

AMOUNT REQUESTED: ______________________

PURPOSE:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

PLEASE RETURN TO RAVENS ROOST 73, PO BOX 16731, BALTIMORE, MD 21221

ATTN: CHARITY COMMITTEE

THANK YOU RAVENS ROOST #73