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Get VA Pulaski Adult Day Service & Fall Prevention Center Capital Campaign Charitable Pledge Agreement 2013-2024

Street address, city/town, state zip code, hereby pledge and agree to contribute to the Pulaski Adult Day Service & Fall Prevention Center Inc. the sum of dollar amount by December 31, 2015. I /We choose to make this contribution as indicated below: Single lump sum payment: I agree to make a contribution in one lump sum for the purpose of satisfying this pledge and further agree that this pledge will be satisfied in fu.

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