Donation Form
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Feeding
Children's Bodies and Minds sm
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Solution Beacon Foundation
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Date:
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Total
Contribution Enclosed: $
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Designations:
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Please specify the designated program(s) and amounts
you are contributing to each:
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Your Pal Steve Lunch Program
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Your Pal
Steve Computer
Center Program
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Your Pal Steve General Fund
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Ravenna/Elliott Scholarship
Fund
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Michael Perry Scholarship Fund
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Sarma Scholarship Fund
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W.D. Bailey Scholarship Fund
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Solution Beacon Foundation Administration Fund
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All of the
programs supporting Steve Peifer's efforts are
administered by Africa Inland Mission. 100% of the contributions received by
the Solution Beacon Foundation in support of Steve's programs are provided to
AIM and designed for the specific programs established by Steve.
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Dedications:
Please specify if any or all of the
contribution is on behalf of, or in memory of another:
If an acknowledgement
of the dedication is desired, please provide the necessary instructions for
sending to the appropriate party:
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Donation Preferences:
Provide my name and contact
information to the Solution Beacon Foundation or designated programs.
Add my email address to the Solution Beacon Foundation's
news distribution.
Provide my name, but no contact information
to the Solution Beacon Foundation or designated programs.
I prefer to make this
contribution anonymously.
(Contact information is
required for a receipt for your tax-deductible contribution, but will not be
disclosed if either of these options are
checked.)
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Contributor
Name(s):
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Address1:
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Address2:
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City,
State, Zip:
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Country:
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Telephone/Fax:
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Email Address:
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To save
postage costs, receipts for your tax-deductible contributions are sent via
email unless otherwise requested.)
Complete this form,
print it, and mail it with your check or money order to:
Solution Beacon
Foundation
c/o Kennedy and Coe, LLC
P.O. Box 187
Goodland, KS 67735
Thank You!
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