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Print, Fill out and Mail MDA Donation Form Yes, I would like to make a tax-deductible donation to the Michigan Deaf Association, Inc. *Gifts In Memory / Honor of are welcome. Your name: _________________________________
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City

Plantation Ave Vicksburg / /

Company

Michigan Deaf Association Inc. / /

Person

Steve Chu / Voice / /

Position

Treasurer / VP / Text / /

ProvinceOrState

Michigan / /

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