Prairie Star District UUA
Friends of PSD Contribution Form
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Count me in as a Friend of PSD.
I want to contribute to the strength and vitality of UUism on the Prairie!
Enclosed is my donation for the current year.
 $5,000 | $1,000 | $500 | $100 | $50 | ______ other |
(please print)
| Name | ___________________________________________ | |
| Address | ___________________________________________ | |
| City, State, Zip | ___________________________________________ | |
| Telephone | ___________________________________________ | |
| ___________________________________________ | ||
| Congregation | ___________________________________________ | |
Mail form and contribution to:
| Friends of PSD Prairie Star District UUA 122 W. Franklin Ave., Suite 303 Minneapolis, MN 55404 |