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Campus Community Partnership Foundation
Attn: Director of Administration
8343 Roswell Road #341
Atlanta, Georgia   30350-2810
U.S.A.

Please print your information.

I have enclosed a check in the amount of $ ____________________.

My Name
Address
City
State/Province	Zip/postal code:
Country
Telephone
Email address
Please complete the sections below if applicable.
My gift is In Honor _____  In Memory _____  (check one) Of __________________________________________________________ (print name) For the Occasion of _______________________________________________________
Notify the following person of my gift:
Honoree Name
Address
City
State/Province	Zip/postal code:
Country

Campus Community Partnership Foundation is a 501 (c) 3 charitable organization (US Tax ID: EIN 20-1820407)

Questions? Please feel free to contact us.
Telephone: 404-713-0393
Email: info@jrcpf.org