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WSBCBA ROBERTA SHOUSE SCHOLARSHIP FUND

YES , I/We would like to donate to the "Western San Bernardino County Bar Association Roberta Shouse Scholarship Fund. " Please accept my contribution to this fund.

Name (required)

AGENCY/COMPANY (if applicable)

ADDRESS (required)

Amount of Contribution: $

Optional This contribution is in honor of:

NAME



For Check Payment:

Please mail your check payable to:

Western San Bernardino County Bar Association

8291 Utica Avenue, Suite 102

Rancho Cucamonga, CA 91730

Please designate:

Contribution given to specific Scholarship 2014 Scholarship Recipient: $

Contribution given to general Scholarship General Fund: $

This is a tax deductible charitable donation
Tax ID #:330172529

THANK YOU FOR YOUR DONATION!

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