Legacy Fund Donation Form - (Saint Paul, MN) Irish Fair

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Harriet Island - August 10-12

Name:^†

Street Address:^†

City:^†

State^†

Zip/Postal Code:^†

Home Phone:

Work Phone:

E-mail Address:^†

Donation Level:

High King ($1,000 per year for 10 years)
Chieftan ($500 per year for 10 years)
Druid ($250 per year for 10 years)
Bard ($___ per year for __ years)

Bard Level Amount

Bard Level Number of Years

- or -

^† Denotes required fields