George and Missouri Bell Foundation Membership Application

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Please complete this form and remit payment via:

1. Zelle (georgeandmissouribellfoundation@gmail.com)

2. Paypal (georgeandmissouribellfoundation@gmail.com)

3. Mailed check: George and Missouri Bell Foundation 10626 Honeyfur Court, Charlotte, NC 28278

Donation Letter will be mailed by the end of 1/31/24

Contributions are tax-exempt under Section 501(c)(3)
of the United States Internal Revenue Service Code.

First Name *

Last Name *

Membership Type *

Young Adult $10 (21-24)

Adult $20 (25-61)

Couples $35 (25-61)

Senior $15 (62-79)

Senior Legacy (80 and up)

Love Offering of Any Amount

Amount of Love Offering

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