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The Arc of Virginia
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The Arc of Virginia #6016
Support The Arc through Payroll Deductions
The Arc of Virginia Phone: 804-649-8481 Fax: 804-649-3585 |
The Arc of Virginia Membership Form Yes! I want to join The Arc of Virginia in ensuring that people with mental retardation and related developmental disabilities are valued as classmates, coworkers, neighbors, citizens and friends. Enclosed is my tax-deductible membership donation of: (mark one)
I wish to contribute $ _____________ My organization would like to be a Business Partner and contribute: (mark one)
NAME _________________________________________________________________________ ORGANIZATION _______________________________________ TITLE ___________________ ADDRESS ______________________________________________________________________ CITY _________________________________________ STATE ______ ZIP ______________ PHONE (W) ___________________________ PHONE (H) _______________________________ FAX
______________________________ EMAIL ___________________________________ Please share with us your special interest: (mark all that apply)
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