Flute Donation Form

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Flute Donation Form

Please complete if you have a flute you would like to donate to Kimberley Jurens Woodwind Repairs Inc. specifically to be refurbished then donated to a local school. KJWR is unable to provide a tax receipt for donations.

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Name (First & Last) and Pronouns *

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Preferred email address to be contacted at

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Phone number

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Make of flute and approximate age, if known

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