The Gift Corporation 100 Main Street, Suite D Hempstead, NY  11550 516.483.3300 Fax: 516.483.3313 Email: admin@thegiftsociety.org
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Charitable Trusts	Type in the name of 2 charitable trusts of your choice.
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If accepted as a member of The Gift SocietyTM, I agree and promise: 1) to obey all rules and regulations of The Gift SocietyTM, and 2) to purchase a personal computer.	Yes No
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*PLEASE PRINT A HARD COPY OF THIS APPLICATION BEFORE  SUBMITTING ELECTRONICALLY BELOW.
Signature:____________________________	Date of Signature__________________
NOTARIZATION
The individual name on this form has appeared before me in person and acknowledged the due execution of this Membership Form.
Printed Name of Notary Public____________________	Date Commission Expires____________________________
Original Signature of Notary Public_____________________	Date of Appearance______________________
AFFIX NOTARY SEAL

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