Parent to Parent POWER, Inc of Washington State
Serving Asian Families of Individuals with Disabilities
Not For Profit Organization State Of Washington
EIN: 91-2013859

Donations Ledger

Date: ___________________

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Name of Person/Business/Organization

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Address

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City                                                                                                    State                                             Zip

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Phone                                                                                                Phone

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Email                                                                                                Web Address
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The above information is required by law, with exception of email and web contents.  Web contents are used for those who wish to be advertised as a "Valuable Community Donor".  By Checking   "YES" below in "Do you wish to be known or advertised as a "Valuable Community Donor" you will be listed on our website at www.p2ppower.org and our Quarterly Newsletter.
There are no determined amounts to be listed.
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[   ]Yes, I/We do wish to be publicized as a "Valuable Community Donor"    [   ]No, I/We Wish to remain Anonymous
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__________________________________________________________________________________$__________________
Description of Donation:                               ( Cash / Tangible Item / Services )                                       Actual / Estimated

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What would you like to see this donation do for our Organization / Community?

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Business Identifier   ( Duns / Federal Tax ID Number )


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Authorizing Signature                                                          Printed Name                                                     Your Title

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Parent to Parent POWER