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Al-Anon Family Groups of Georgia, Inc. Individual Contribution

Date *

First Name *

Last Name *

Contributor's Email Address *

Contributor's Mailing Address *

Contributor's Mailing Address

City

State/Province

Zip/Postal

Contributor's Telephone Number *

Please select one entity from the drop down list below. Only one entity can be selected for each contribution form submission. *

If donating to Al-Anon/Alateen Convention, what year? *

Amount of Donation *

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In keeping with our 7th tradition Al-Anon Family Groups of Georgia, Inc. is fully self supporting and declines outside contributions. *

By submitting this form I reconfirm that I am an Al-Anon member

Note: All income from contributions is allocated to the General Fund. Contributions cannot be earmarked for special purposes. No goods or services were provided by Al-Anon Family Groups of Georgia, Inc. in return for this contribution.