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*Name of Organization
*First name
*Last name
*Preferred Email
Unpublished Email (not visible to the public)
Preferred Phone (for public contact)
Work Phone (direct dial)
Unpublished Phone Number (for internal use)
Street Address 1
Street Address 2
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State
Zip Code
Number of Guides to be delivered (ACS member organizations receive free one-time annual delivery)
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Indicate the number of Guides to be delivered within the Columbia area or you can pick them up at our office. Contact us if you need more than 500 Guides.
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*Donation Amount ($USD)
Thank you for your generous gift!
Your donation is tax deductible. Our 501(c)(3) EIN is 52-1320048.
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Association of Community Services

9770 Patuxent Woods Drive, Suite 301
Columbia, MD 21046
443-518-7705

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