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2. We are pleased to support Celebrate Weston! at the following level:

   1. PATRON LEVEL - $5,000
   2. CELEBRANT LEVEL - $2,500
   3. FRIEND LEVEL - $1,000
4. I/We will make a donation in the amount of:
6. CONTACT INFORMATION
8. NAME
10. TITLE
12. ADDRESS
14. CITY
15. STATE
16. ZIP
18. EMAIL
19. PHONE
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21. 1. Receive an email copy of this form.
22. Email address

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23. Submit

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