New York Caledonian Club Inc.
Donation Form

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Date:	May 9, 2008
Your Name:	Mr. Ms. Mrs. Dr. Prof. Rev. First: Last:
Address:	City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington,D.C. West Virginia Wisconsin Wyoming Zipcode:
Phone:	Ext. Home     Office     Cell Best time to call: Morning     Afternoon     Evening
Email:
Donation:	Check | M.O. of $
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Donations
The New York Caledonian Club
P.O. Box 4542
Grand Central Station
New York, NY 10163-4542