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P.O. Box 3528
Frederick, Maryland 21705-3528


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Complete this donation form and return to BCWB P.O. Box 3528, Frederick, Maryland
21705-3528. We are proud to accept your invitation to Join the "Every Child Counts,
Campaign".

Make checks or money orders payable to Basketball Coaches Without Boundaries, Inc.

Check Amount enclosed _________________

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Name

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Street

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City/State                    Zip

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Email

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Type Membership
                         
We would like to thank you in advance for your generous support.  Please encourage your
friends, family and business associates to get involved by becoming a member and supporting
the growth and development of our youth.

Membership is tax-deductible to the extent allowable by law.
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