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Printable Mail-In Form For Participating
Corporations Only

100%
of your donation goes to Second Harvest Heartland... and Get in Gear
will match your donation (participating corporations only, dollar-for-dollar, up to $10,000.
Please print this
form, fill out and mail to:
Get in Gear, Inc
P.O. Box 6727
Minneapolis, MN 55406-0727
Please make checks
payable to: Second Harvest Heartland
Your donation is tax
deductible. If you wish to receive a receipt, please indicate below.
| Corporation: |
________________________________________ |
| Name: |
________________________________________ |
| Street: |
________________________________________ |
| Apt, Suite, etc: |
__________________________ |
| City: |
________________________________________ |
| State: |
________________________ |
| Zip: |
________________________ |
| Telephone: |
( ________ ) ________ -
__________________ |
| Amount donated: |
$
______________________________________ |
| Do you want a receipt? |
Yes
No (please circle one) |
Thank you!
Get in Gear: Phone (612) 722-9004
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