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DaySpring Villa

Donation Form

 

Please mail this form to:

 

DaySpring Villa

PO Box 1588

Sand Springs, OK 74063

 

Contributor Information

                                                       Amount Enclosed

                                                                          $__________

Name_________________________________________________

 

Address_______________________________________________

 

City State Zip___________________________________________

 

Telephone Number (area code)______________________________

 

Email (optional)________________________________________

 

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