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DeLand Police Athletic League Donation Form
"Training for Life"
First Name
*
Last Name
*
Email Address
*
Company (optional)
Donation Amount
*
Contact Information
Street Address
*
Address Line 2
City
*
State
*
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Alaska
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California
Colorado
Connecticut
Delaware
Florida
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Hawaii
Idaho
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Louisiana
Maine
Maryland
Massachusetts
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New Jersey
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South Carolina
South Dakota
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Vermont
Virginia
Washington
West Virginia
Wisconsin
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Washington DC
Zip Code
*
Telephone
*
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