Help Defend & Preserve our
Hunting, Fishing & Trapping Heritage
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Pledge of
Support
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$10___
$20___ $50___ $100___
Other__________
A one time
Donation___ Or, each month for the next___
months
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Name : |
__________________________________________________ | |
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Organization:
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__________________________________________________ | |
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Street Address:
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__________________________________________________ | |
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City, State, Zip:
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__________________________________________________ | |
| Legislative District: | __________________________________________________ | |
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Telephone:
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__________________________________________________ | |
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E-mail:
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__________________________________________________ | |
| Check Enclosed: | ________________________________ | Amount:_________ |
| Visa/MasterCard Number: | ________________________________ | Amount:_________ |
| Expiration Date: | __________________________________________________ | |
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Signature:
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__________________________________________________ | |
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Date:
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__________________________________________________ | |
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I can also help by: ___ Being a
spokesperson for the message in my part of the state. |
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P.O. Box 625, Republic, WA 99166
509-775-2936
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