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Yes, I can help financially.  Enclosed is my check in the amount of $______ payable to the Friends of Ben Montzka Committee (maximum individual donation is $100).
 
 
Name________________________________________
Address______________________________________
City/State/Zip________________________________
Phone______________E-mail_____________________
 

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Copy, paste and print this form and send it along with your check to:

Friends of Ben Montzka Committee
5305 East Viking Blvd.
P.O. Box 307
Wyoming, MN 55092

Thanks again!

 

 

 

Copyright © 2006. All rights reserved.
Prepared and paid for by the Friends of Ben Montzka Committee
Daryl Doehr, Chairman
5305 E. Viking Blvd., P.O. Box 307
Wyoming, MN 55092