Southwest Airlines Voucher

NAACP DANE COUNTY
2016 ACT-SO/SOUTHWEST AIRLINES
SUPPORTER FORM

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Your Name *

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Last

Address *

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Preferred Phone Number *

Preferred Email *

ACT-SO Support *

Southwest Airlines Voucher/ACT-SO Contribution ACT-SO Contribution

Contribution Amount *

All Contributions must be submitted by 3:00 p.m., April 3, 2016

Thank you for your donation to ACT-SO.

SOUTHWEST AIRLINES VOUCHERS
The person who indicates their desire to contribute the greatest amount over $500 ($250 per voucher) by 3:00 p.m.,
Sunday, April 3, 2016 will receive the Southwest Vouchers.

All donations should be made by check, and payable to
NAACP Dane County Branch #36AB.

Mail to:
NAACP Dane County
Attn: ACT-SO Committee
P.O. Box 44366
Madison, WI 53744

The NAACP Dane County is a 501C-4 Organization.

Submit

NAACP DANE COUNTY2016 ACT-SO/SOUTHWEST AIRLINESSUPPORTER FORM

NAACP DANE COUNTY
2016 ACT-SO/SOUTHWEST AIRLINES
SUPPORTER FORM