I (We),                                                                  , am (are) sending this check to
Columbus Curling Club as a tax-deductible donation in the amount of $            

I understand that CCC will be mailing me a receipt for my tax purposes.

Signature                                                       Date               

Signature                                                       Date               

Name(s)                                                                                                    
Address                                                                                                     
City                                         State                    Zip Code                     


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Please mail to: Columbus Curling Club
2999 Silver Dr Rear
Columbus, OH 43202
Attention: Marlene Friedman, Treasurer