Major Larry J. Bauguess Jr. Memorial Fund
Please Print
Your Name:_______________________________
Mailing Address: ( necessary for tax deductible receipt)
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e-mail address for updates on fund progress: ____________________________
Amount of Donation: (checks only please)______________
Date:____________________________________
Any Comments/Rememberances for the website:
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Please Mail to:
NC3-208-01-01
Attention: Susan Miller
Bank of America - Wilkesboro Branch
200 West Main Street
Wilkesboro, NC 28697-2425