Florida Lions Foundation for the Blind, Inc.
4111 SE 10th Place
Ocala, FL 34471-4811

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Mail-in Donation Form

Print out and mail to the address listed above.

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  Name :                                                                                                          
               ( first )                                                      ( last )
Address :                                                                        
Home phone : (______)__________________
  City :                                                                        
  Work phone : (______)__________________
        County: __________________ State :           Zip:                     
 
  I wish to donate :  
  $ _________________  
 
  I am enclosing a : (note: DO NOT send cash!)  
  ___    Check  
  ___    Money order  
 
  Notes or comments regarding your donation :  
  _____________________________________________________________________________
  _____________________________________________________________________________
  _____________________________________________________________________________
           Send a thank you note to : _____________________________________________________________________________
  _____________________________________________________________________________
 

            Thank you!

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Florida Lions Foundation for the Blind, Inc.
Website Donation
www.floridalionsfoundation.org
 

4111 SE 10th Place
Ocala, FL 34471-4811