First name
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Street address 1
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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 West Virginia Wisconsin Wyoming
Zip code
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What types of giving are of interest? (Please check all that apply.)
Endowment Heritage Society/Annual Giving Planned Giving Capital Needs Naming Opportunity Unrestricted
Where are you interested in contributing your donation? (Please check all that apply.)
Wexner Heritage House Heritage Tower Bexley Heritage Apartments Larry and Leonore Zusman Jewish Community Hospice Shalom House, Inc. Rehabilitation Services Associates Fund Spiritual Services Other
What are your personal interests? (Please check all that apply.)
Art Educational lectures/programs Fitness Gardening Religious Studies Music Reading Theater Travel Volunteering Writing Other
Comments/Questions?
