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Please scroll below to see a Special Thank You to the following Donors:
Please Print and Fax to: LPCA 404-370-0006 OR: click on the Donation Button on Above
LPCA, 250 E Ponce de Leon Avenue, Suite #427, Decatur, GA 30030
I would like to support LPCA with a personal donation.
AMOUNT OF DONATION $_______________________
Name: ___________________________________________________________________________
Company/Title: ____________________________________________________________________
Mailing Address:___________________________________________________________________
Phone:___________________________________________________________________________
Email:____________________________________________________________________________
(for LPCA use only)
PAYMENT METHOD
Check______ Visa_______ Mastercard ______
CARD #_________________________________________________________________________
Expiration Date: ________________(mm/yy)
Signature_________________________________________________________________________
Billing Address, State Zip_____________________________________________________________
Last 3 digits on back of card__________
Donors
A Very Special THANK YOU to the Following Contributors:
Fred Richards
W ink O'Neil
John C Burns, III
DeeAnna Merz Nagel
Anonymous- Special Tribute to Nancy Reeves and Linda Painter
The Licensed Professional Counselors Association of Georgia is dedicated to the profession and the professionalism of Counselors in the State of Georgia.
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