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P.O. Box 441 | 729 E. Market St., Logansport, IN 46947 | 574-722-2200

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Personal Information

In this section, we will collect your personal information needed to register your gift to the Cass County Community Foundation. After you submit this information, we will contact you for payment options.

Title/Salutation

First Name(s)

Last Name

Company

Street Address

Street Address Line 2

City

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Phone

Email

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Pass Through Fund Donation

This gift is in memory or in honor of someone

Dedication Name

On the occasion of...

Name & Address to send acknowledgement

Acknowledgement recipient's relationship to individual being remembered or honored

Yes! CCCF may contact me at the e-mail address above.

Thank you! We will be in touch!

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Confirmed in Compliance with National Standards for U.S. Community Foundations

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DONATIONS ARE TAX DEDUCTIBLE. EIN: 35-2125727

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