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Halifax Plantation Donation Request Form

Qualified recipients will be notified via email of their selection.

The donation will typically be for 2 x 2 rounds of golf with cart & time restrictions. Only 1 submission is necessary per event.

 

Please provide the following contact information:

First Name  
Last Name  
Title  
Organization  
Street Address  
City  
State/Province  
Zip/Postal Code  
Work Phone  
E-mail  
URL
Comments

Attach a request file (.pdf, .doc, etc) with your submission. Allow a moment for upload...


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Revised: 12/20/12