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Greyhound Friends of North Carolina

Tax # 56-1963355 501(c)(3)

(To print this form, only, click on the text and then use your normal print options)

Please print and use this Membership form and mail this form and gift to:

Greyhound Friends of North Carolina
2908 Oak Ridge Road
Oak Ridge, NC 27310

Please accept my tax deductible contribution of $___________

___ Check Enclosed (Please make payable to Greyhound Friends of North Carolina

___ VISA or ___ MasterCard

|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| exp. ___/___

All contributions are tax-deductible as allowed by law.

Your Name: ______________________________________________________

Address: _________________________________________________________

City: ____________________________ State __________ Zip _____________

E-mail Address: ____________________________________________________

...We thank you for your generosity...