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Mail donation
to:
Adam
Bailey Foundation
PO Box 363
Gorham, Me 04038
877-541-9998
www.adambaileyfoundation.org
Name: ___________________________
Date: ____________________________
Received From:
___________________________
Description
of Gift or Donation:
Signature: ___________________________
The
Adam Bailey Foundation is a Non-profit, Tax-Exempt Organization
under Section 501(c)(3) of The Internal Revenue Code.
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