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Summer Fundraiser

1420 19th Place
Vero Beach, FL 32960
772-226-5459

www.verochamber.com

info@verochamber.com

Summer Fundraiser

Donation Form

Donation Amount*

Description of Donation*

Limitations or Exclusions (if any):*

Name/Contact*

Company Name*

Address*

Phone*

Website:*

Email*

Are you a Vero Beach Chamber member?*

If not, would you like to be?*

Upload Logo*

Date*

Month

Day

Year

Signature*

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1420 19th Place, Vero Beach, FL 32960 (772) 226-5459

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