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<title>General Longstreet Recognition Project Contribution Form</title>
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<p align="center"><font face="Arial" size="3"><b><i>GENERAL JAMES
LONGSTREET<br>
RECOGNITION PROJECT</i></b></font></p>
<p align="center"><font face="Arial" size="3">Contribution Form</font></p>
<p align="center"><font face="Arial" size="3">
<img border="0" src="images/checkbox-small.gif" width="18" height="17">
</font><font face="Arial" size="3">Yes! I would like to support the General James Longstreet Recognition Project <br>
to memorialize the achievements and virtues of this great leader <br>
whose courage as a soldier and politician inspired the nation.<br>
</font></p>
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<td width="104"><font face="Arial" size="3"><b><i>Organization</i></b>:</font></td>
<td width="306"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104"><img border="0" src="images/space.gif" width="15" height="14"></td>
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<td width="104"><font face="Arial" size="3"><b><i>Your Name</i></b>:</font></td>
<td width="306"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104"><img border="0" src="images/space.gif" width="15" height="14"></td>
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<td width="104"><font face="Arial" size="3"><b><i>Title</i></b>:</font></td>
<td width="306"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104"><img border="0" src="images/space.gif" width="15" height="14"></td>
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<td width="104"><font face="Arial" size="3"><b><i>Address</i></b>:</font></td>
<td width="306"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104"><img border="0" src="images/space.gif" width="15" height="14"></td>
<td width="306"></td>
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<td width="104"><font face="Arial" size="3"><b><i>City/State/ZIP</i></b>:</font></td>
<td width="306"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104"><img border="0" src="images/space.gif" width="15" height="14"></td>
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<td width="104"></td>
<td width="306"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104"><img border="0" src="images/space.gif" width="15" height="14"></td>
<td width="306">
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<td width="104"><font face="Arial" size="3"><b><i>Telephone</i></b>:</font></td>
<td width="306">
<p align="left"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104"><img border="0" src="images/space.gif" width="15" height="14"></td>
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<td width="104"><font face="Arial" size="3"><i><b>Fax</b></i>:</font></td>
<td width="306"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104"><img border="0" src="images/space.gif" width="15" height="14"></td>
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<td width="104"><font face="Arial" size="3"><b><i>E-mail</i></b>:</font></td>
<td width="306"><font face="Arial" size="3">____________________________________________________________</font></td>
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<td width="104"><img border="0" src="images/space.gif" width="15" height="14"></td>
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<td width="104"><font face="Arial" size="3"><b><i>Signature</i></b>:</font></td>
<td width="306"><font face="Arial" size="3">____________________________________________________________</font></td>
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<p align="left"><font face="Arial" size="3">Enclosed is my gift of:</font></p>
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<td width="20%"><font face="Arial" size="3">
<img border="0" src="images/checkbox-small.gif" width="18" height="17">
$25<img border="0" src="images/space.gif" width="15" height="14"></font></td>
<td width="20%"><font face="Arial" size="3">
<img border="0" src="images/checkbox-small.gif" width="18" height="17">
$50<img border="0" src="images/space.gif" width="15" height="14"></font></td>
<td width="20%"><font face="Arial" size="3">
<img border="0" src="images/checkbox-small.gif" width="18" height="17">
$100<img border="0" src="images/space.gif" width="15" height="14"></font></td>
<td width="20%"><font face="Arial" size="3">
<img border="0" src="images/checkbox-small.gif" width="18" height="17">
$500<img border="0" src="images/space.gif" width="15" height="14"></font></td>
<td width="20%"><font face="Arial" size="3">
<img border="0" src="images/checkbox-small.gif" width="18" height="17">
Other _____</font></td>
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<p align="center"><font face="Arial" size="3">Donations to the General James Longstreet Recognition Project (GLRP)<br>
are tax-deductible under IRS Code 501 (c)(3) with checks payable to:</font></p>
<p align="center"><font face="Arial" size="3"><b>The Agribusiness
Council - GLRP</b><br>
<b>P.O. Box 5565<br>
Washington DC 20016</b></font></p>
<p align="center"><font face="Arial" size="3">Contributors will receive
project reports and invitations to events.</font></p>
<p align="center"><font face="Arial" size="3">Thank You!</font></p>
<p align="center"><b><font face="Arial" size="2">"Leadership Education and Character Development through Historical Scholarship"</font></b></p>
<p align="center"><b><font face="Arial" size="2"><a href="enrollment_form_jr.htm">Longstreet
Recognition Project<br>
Enrollment Form<br>
Home</a></font></b></p>
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