I would like to be a volunteer.  Yes No
 I would like to Donate. Yes No   Amount
CAPITAL BUILDING CAMPAIGN
Housing And Rehabilitation Clubhouse 
For Mentally Ill Residents Of Coachella Valley 
Here is my special donation to provide, affordable attractive
housing and services for persons with mental disorders. 
Please deposit my donation into your Capital Building Fund Account.
Corporation $10,000.00
Patron $ 1,000.00 
Donor $ 100.00
Friend $ 50.00
Supporter $ 25.00 
Other   _____________
I want to make a BIG DONATION
I am interested in sponsoring 
(1) 5-plex housing unit  Yes No
(1) Bedroom, 2 Bedrooms and studios  Yes No
$300,000.00 Individual: Yes No
$300,000.00 Corporation: Yes No
I would like this complex to be dedicated to
Name
I would like to be an anonymous donor of 
(1) 5-plex apartment unit  Yes No

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