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          Print this form and mail along with a check payable to KEWF.

 

          KEWF

          560 Peoples Plaza #111

          Newark, DE 19702

 

 

              Name: ___________________________________________________________

 

            Address:  _________________________________________________________

 

            City, State, Zip: ____________________________________________________

 

            Email address: _____________________________________________________

 

            Phone: ____________________________ Cell:___________________________

           

            Total enclosed: $____________

 

                ____ Check Here if this is a COCA Donation.

 

            You will receive back a 2008 tax deduction receipt.

             

            NOTE:

 

 

 

 

 

 

 

           

            KEWF thanks you for your support!

 

 

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