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STOP THE LEAK!

TOWN HALL KIDS DONATION TALLY SHEET

Use this form to tally your donors. Prizes for the highest dollar amounts collected! Return this
form, with your donations and donor forms, by NOON on FRIDAY, JULY 30th to: Town Hall
Theatre, 3535 School Street, Lafayette, CA 94549 Attention: THK Stop the Leak.
Questions? Please call (925) 283 6673.

Your Name: Your Phone Number: Your Email:

DONOR TALLY:
NAME $ AMOUNT

GRAND TOTAL: $

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