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Yes, I would like to make a donation to Dana Tai Soon Burgess & Company.
Enclosed is my gift of
__ $25 Apprentice
__ $50 Corps de Ballet
__ $100 Soloist
__ $250 Diva
__ $500 Impresario Magnifico
__ $_______ Other
Name _________________________________
Address _______________________________
City ____________ State __ Zip ___________
Telephone _____________________________
E-mail ________________________________
To make a donation to Dana Tai Soon
Burgess & Company please print and complete this form
and mail it with your check (payable to Moving Forward) to
Dana Tai Soon Burgess & Company
2745 Arizona Avenue, NW
Washington, DC 20016.
Other contact information:
202-297-2436
202-237-1352 (fax)
Contributions are tax deductible to the full extent of the law.
Moving Forward: Contemporary Asian
American Dance Co. is part of the Combined Federal Campaign of the
National Capital Area #7626
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