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Donation Form



Title: Donation Form

Donation Form

 

 

Greater Seattle Aquarium Society – www.gsas.org

 

Board Members:

 

Bob Holmes – President         (206) 938 – 1538          jbholmes@nwlink.com

 

Rick Rose – Historian & Secretary      (253) 581- 7673      rick-rose@comcast.net

 

Susan Welenofsky – Treasurer      (253) 565 – 3033      welenofsky@comcast.net

 

Sandu Simion         (425) 746 – 0527       s.simion@comcast.net

 

Paul Winchester        bravo454@hotmail.com

 

 

Name of Donator: ___________________________________________________

 

Address of Donator: _________________________________________________

 

City, State, Zip: _____________________________________________________

 

Phone Number of Donator: ____________________________________________

 

Date Item(s) Donated & Received by: _____________________________________

 

Item(s) Donated & Value: _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Additional Information: __________________________________________________________________________________________________________________________________