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© 2013 by New Bethlehem Community Center

Your Financial Support Is Needed

Name: ____________________________________________________

Address: __________________________________________________

City/State/Zip: _____________________________________________

Contact Phone: _____________________________________________

Email Address: _____________________________________________

My financial support to the Center

________ $20.00      _______  $100.00     _______  $500.00

________ $30.00      _______  $200.00     _______  $1,000.00

________ $40.00      _______  $300.00     $________________

________ $50.00      _______  $400.00

Please make all checks payable to:  New Bethlehem Community Center

                                                             1336 Conklin Avenue

                                                             Augusta, GA 30901

Thank you for your continued financial support.