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Lifetime
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$500
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Benefactor
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$75
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Sponsor
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$250
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Family/Couple
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$25
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Business
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$100
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Individual
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$15
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Comments:_________________________________________________________________________________________________
Name:_____________________________________________________________________________________________________
Address:___________________________________________________________________________________________________
City:_________________________________________ State:_______________________ Zip:______________________________
Phone: Home:____________________________________ E-mail:_____________________________________________________
Please make your check payable to: Friends of the NFTM, 318 W Pacific, Independence,
MO 64050. Thank You!
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