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* Mandatory fields
*Name of Organization
*First name
*Last name
Work Phone
Unpublished Work Phone (direct dial)
Street Address 1
Street Address 2
Zip Code
Number of Guides to be delivered (free one-time annual delivery)
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Indicate the number of Guides to be delivered within the Columbia area. We can mail 10 or fewer Guides outside the Columbia area or you can pick them up at our office. See next box for more than 500 Guides.
Request for more than 500 Guides (free one-time annual delivery)
Please indicate the number of Guides to be delivered if more than 500 are requested.
Guide Delivery Instructions

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2016 EOY Appeal
*Donation Amount ($USD)
Thank you for your generous gift!
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Your donation will be used in general support of ACS activities so we can help our members do good even better.
ACS is a 501(c)(3) charitable organization. EIN 52-1320048

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