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Southern Springs Holistic Learning Center

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Donation Form

All donations are tax deductible.

To make a donation, please print form, complete and return with your donation to:

Southern Springs, P.O. Box 3027, Tallahassee, FL 32315
Call 850-878-8643 for more information

Name____________________________________________________________________________

Address__________________________________________________________________________

City____________________________________ State_________ Zip_________________________

Phone - Home_____________________________ Work___________________________________

E-mail____________________________________________________________________________

___ Check here if you wish your donation to be confidential.

Please fill in the type and amount of your donation:

___ Check here for a monetary donation

$_______ General Fund

$_______ Land Acquisition and Site Development

$_______ Scholarship Fund

$_______ Continuing Education Provider Application Fund

$_______ Total amount enclosed ( Make check payable to Southern Springs)

___ Check here for non-monetary donation

$_______ Dollar value of in kind donation for tax purposes

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Home Page \ Southern Springs, Inc. \ Holistic Learning Center \ Board of Directors \ Donations
Workshops and Events Calendar \ Registration Form \ Scholarship \ Presenters \ Newsletters
Membership Information \ Membership Application \ Volunteer Information \ Add Me to Mailing List \ Contact Us