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DONATION REPLY FORM

P lea s e s e n d al l d o n at ions to The Arc Merce r by Octobe r 23rd.
The Arc M e rc e r 180 Ewing ville R o ad Ewing, NJ 08638

YES,

I / We would like to support The Arc Mercer Fall Gala

with a donation of the following item(s):

DONATION

Value: $

THANK YOU FOR YOUR GE NE ROUS SUP P ORT!

OU R TAX ID NUMB E R IS 210726335.
DONATION

Value: $

FOR MORE INFORMATION, P LE ASE CONTACT

DONATION

Value: $

K r i s C l a rk of T h e A rc M e rc e r a t
( 6 0 9 ) 4 0 6 - 0 181 , ex t . 178 o r kcl a rk @ a rc m e rc e r. o rg
THE ARC MERCER 180 Ewingville Road Ewing, NJ 08638
( 6 0 9 ) 4 0 6 - 0 181 w w w. a rc m e rc e r. o rg

DONATION

Value: $

CONTACT NAME
COMPANY/FAMILY NAME
ADDRESS
ADDRESS 2
CITY

STATE

TELEPHONE

FAX

EMAIL

ZIP

FALLGala
FRIDAY, NOVEMBER 20, 2015

SPONSORSHIP
PACKAGES
and

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INFORMATION