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Please print this form, fill in the required info and return with your contribution
( ) Yes, I/we would like to contribute to C3 Initiatives / River of Light Enterprises
Enclosed is a contribution of $ _____________ Check #:____________ Check date:__________________
Please allocate my donation in the following percentages:
______% Home Health Care
______% Where Most Needed
______% Community Charities
( ) Yes, please keep us on the annual membership mailing list.
Make checks payable to: River of Light Enterprise
Mail to:
C3 Initiatives, Inc.
9460 Federal Blvd.
Federal Heights, CO 80260
EIN No.54-1994725 -501(c)3
If you wish to claim a tax deduction please include a self-addressed stamped envelope for return of a receipt.
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Name
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Address
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City/State/Zip
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Phone (optional)
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E-mail (optional)