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The Annual Give Donation Form

Los Feliz Charter School for the Arts

www.losfelizarts.org
1553 Cassil Place
Los Angeles, Ca 90028
(323) 656-2810 p   (323) 656-2812 f
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LFCSA ANNUAL GIVE
2009-2010
voluntary contribution form

Name  __________________________________________________

Child or Children’s name/teacher_______________________________

Address  _____________________________City________Zip______

Phone number _________________________________

I would like to support LFCSA with a check for $___________

Please charge my donation:

$__________________flat  OR

$______________per month for a total of $____________

master card or visa#___________________________________________

expiration date _____________  security code (on back of card)__________

Thank you for making creative public education your priority!

Lfcsa is a 501c3 not for profit corporation.  All donations are voluntary and tax-deductible.
tax id #20-3001046

Please send your generous donation to:
LFCSA Annual Give Accounting
1553 Cassil Place,
Los Angeles, CA  90028