Wamego Community Foundation

Items in bold are required

Name:
   
Company:
   
Address:
   
City:
State: Zip:
   
Telephone:
Fax:
(Please include area code; with or without punctuation)
   
E-mail:
   
I would like to donate the sum of: $
(Do not use commas or dollar signs; ex. 1000 or 50 or 25.50)
   
To the following fund:
 

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