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Donation To The U.S. District Court Of Oregon Historical Society


DONATION TO THE

THE U.S. DISTRICT COURT OF OREGON

HISTORICAL SOCIETY

Enclosed is my donation to the United States District Court Historical Society:

       $50              $100           $250           $1,000                   Other $_________

If this donation is made in honor of a particular person, organization or event, please list:

In Honor Of _______________________________________________________

            Please mail your check and this form to:

                        The United States District Court of Oregon Historical Society
                        c/o Karen E. Saul, Treasurer
                        Farleigh Witt
                        121 SW Morrison
                        Suite 600
                        Portland, Oregon 97204

NAME:                                                                                                                                              

                        (Last Name)                             (First Name)                                (Middle Initial)                  (Mr./Mrs./Ms.)

E-MAIL ADDRESS:                                    

FIRM:                                                                                                                                                           

ADDRESS:                                                                                                                                       

CITY:                                                     STATE:                                              ZIP:                         

WORK PHONE:                                                       HOME PHONE:                                           

FACSIMILE NO.:                                        

The historical society is a 501(c)(3) not-for-profit organization. Some or all of your donation may be tax deductible, please consult your tax advisor for more information and keep a copy of this form for your tax records. The historical society is also a member of the Oregon Cultural Trust ( www.culturaltrust.org). Donors may be eligible to receive a state tax deduction for their donations through the Oregon Cultural Trust, see www.culturaltrust.org for more details.

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