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Checks and Balances


Occupation/Employer (required by Law)_________________________________

Address ____________________________________________________________


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Make checks payable to "Checks and Balances" and return with this completed coupon to:
David Monk, Treasurer
Checks and Balances
P.O. Box 51032
Eugene OR, 97405

Checks & Balances is a 501(c)3 organization. Your donation is tax deductible to the fullest extent allowed by law.
Authorized and paid for by: Checks and Balances. Treasurer, David Monk

Thank You!