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Legacy-$250,000+; Benefactor-$100,000-$249,999; Patron-$50,000-$99,999; Visionary-$5,000-$49,999; Investor-$500-$4,999; Supporter-Gifts under $500
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Please fill in amt only if "General Donation" is NOT filled in
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Company Name/Address

Donations are tax deductible to the fullest extent of the law. Tax ID Number: 222285850