West Islip Beautification Society

WEST ISLIP BEAUTIFICATION SOCIETY
Donation / Volunteer Form

PLEASE PRINT AND RETURN WITH YOUR TAX DEDUCTIBLE DONATION.
THANK YOU.

$100.00 $50.00 $25.00 OTHER_________

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Name

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Address

Telephone

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City

State

Zip

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e-mail:

Best time to call:

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I would like to volunteer my time to help with planting and maintaining the planters and/or planted sites.

Please return to:

WEST ISLIP BEAUTIFICATION SOCIETY
P.O. BOX 66
WEST ISLIP, NY 11795