CCS Contributions Form

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Please print a copy and complete the following contribution pledge form:


Yes! I want to further the important work of the Congress of California Seniors!

I would like my donation to support:

Congress of California Seniors (not tax deductible).
CCS Education & Research Fund (tax deductible):

Enclosed is my gift of:
 
$15
$25
$50
$100
$200
Other ______

 

Please make checks payable to:(not tax deductible) I.D.# 94-2472578
or
CCSERF (tax deductible) I.D. #94-2724642

CCS

Mail to:Congress of California Seniors
1230 N Street, Suite 201
Sacramento, CA 95814

Name _______________________________________________
 

Address ___________________________________ Apt ______
 

City _________________________ State ____ Zip + 4 ______________ + _ _ _ _
 

Phone __________________ E-mail: _______________________

Congress of California Seniors

Contributions

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Congress of California Seniors
1230 N Street, #201
Sacramento, CA 95814
(800) 543-3352
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