ADI Foundation Donation by check

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ADI Foundation
3813 Gordon Creek Drive
Hicksville OH 43526 USA


Donation Amount:  $25 ____ $50____ $75 ____ $100 ____ $250 ____ $500____

$1000 ____$2000 ____ $2500____Other $________Any amount is appreciated!
Gift notations: ______________________________________________________




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Please check your tax code for deduction possibility.

United States Tax Deduction:
Please keep your receipt which confirms, as required by IRS Regulations for US Code 501(c)(3) organizations concerning donations, that no goods or services were received or provided in exchange for this gift.