Donation
Form Greater
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:
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