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Approximate Date of Donation

Full Name

Organization (if applicable)

Street Address

City, State, Zip

Email

Phone

Brief Description of Item(s)

Value of Item(s)

Would you like an acknowledgement letter for your donation? (YES/NO)

GUEST HOUSE OF MILWAUKEE

1216 N. 13th Street
Milwaukee WI 53205

Registered Charity #39-1539301

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