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Donation Form |
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The Bottineau Ambulance Service began
construction on a new ambulance center building in March, 2007.
Gifts from
Friends
Name the
Other Opportunities
Classroom/Training Center @ $50,000
Center
Garage Bays @ $25,000 each
Office @
$15,000
Name(s)___________________________
Email_______________________
Phone________________
Address_______________________________________ City, State,
Zip___________________________
Yes, I/we want to support the service mission of the Bottineau Ambulance
Service through the following Contribution:
_____ $5,000 _____ $2,500
_____ $1,000 _____ $500
_____ $250 _____ $100
_____ $__________
My/Our payment will be made as follows:
_____ Enclosed _____ Please bill me MAIL TO:
Bottineau Ambulance Service |
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