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Get American Heart Association I Would Like To Be A Heart Ball Patron 2017-2024

Greement The purpose of this Agreement is defined on the second page of this form. This Donation Agreement is made by and between the American Heart Association, a charitable institution (Federal Tax ID #13-5613797), and Donor for the payment of a donation in the amount of $ , to be paid by Donor as outlined below. Donation must be paid in full at least 30 days prior to the event: Installment Due Date* 1. August 14, 2017 2. October 23, 2017 3. January 15, 2018 4. Amount Payable on Due Date $.

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