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THE OPEN HEARTH FOUNDATION, INC. DONATION FORM
| My Enclosed Donation Amount: |
Please print, fill-out, and return this form to the following address; along with a check or money
order payable to: The Open Hearth Foundation, Inc.
P.O. Box 76043 Washington, DC 20013-6043
If your donation is for $120 (or more) please check the box below to become a Friend of the
Hearth (FrOTH). You will not be contacted about FrOTH if you leave the box below blank.
If your donation is for $300 (or more) please also check the box below to become a Hearth-level
sponsor. You will not be contacted about Hearth-level sponsorship if you leave the box below blank.
The OHF is a nonprofit and federally recognized tax-exempt organization [EIN 54-1987374].
Receipts available upon request. Complete details about Major Sponsorship and Friends of the
Hearth available at www.openhearth.org.
THANK YOU FOR YOUR DONATION!
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