Please complete the following so we may accurately credit your gift. Last Name: ______________________________________________ First Name: ______________________________________________ or Name of Company: ______________________________________________ Address: ________________________________________________ _________________________________________________________ Phone Number: ______________________________________ E-mail address: __________________________________________ Please designate my gift to: - Excellence Award Fund _____ - French Theater in Buffalo _____ - Educational Programs _____ - Cultural Programs _____ - General Expenses _____ I would like _____ this gift credited to me as an individual _____ to share credit for this gift with my spouse: (Name)________________________________ _____ to make this gift in memory of: (Name)________________________________ _____ to make this gift in honor of: (Name)________________________________ Enclosed is my gift of: __$1,000 __$500 __$250 __$100 __$50 __$25 ______Other All donations are tax deductible Please send your check payable to Alliance Française de Buffalo and mail to: Alliance Française de Buffalo c/o Colette Jowdy 59 Quail Run Lane Lancaster, NY 14086 Thank you for supporting the educational programs and cultural activities of Alliance Française de Buffalo. Merci!
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