SPECIAL ART ACQUISITION
IN HONOR OF JUDY L. LARSON

Image courtesy of Barbara Parmet

HIDDEN

Campaign

Designation

GLAccount

Form ID

GIFT

Name Recognition

(Name exactly as you would like it to appear for donor credit.)

Keep my contribution anonymous

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Other Amount

Please count on me with a special gift:

$100$250$500$1,000$1,500Other

If you have any questions about giving, please call (805) 565-6162.

DONOR

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Last Name

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Spouse First Name

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PAYMENT

Payment Type

Please select... American Express Discover/MasterCard/Visa EFT

Gift Amount

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Card Number

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Account Type

Please select... Checking Savings

Account No.

Routing No.

Routing and Account