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DEMCO Foundation/Operation Round Up 1810 S. Range Ave. Suite 2 Denham Springs LA 70726 225 665-0317 All sections marked by must be accompanied with documentation. APPLICATION FOR DONATION FOR INDIVIDUAL AND/OR FAMILY INDIVIDUAL AND/OR FAMILY 1. I also understand that the DEMCO Foundation may use this application if approved for publicity and promotional purposes but that my name and address will not be used for this purpose unless approved by me .

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