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Rialto Community Theatre, Inc. P.O Box 874, Deer Lodge, MT 59722, www.deerlodgerialto.com Restoration and rebuilding the historic Rialto Theatre is more than a dream, and you can help bring back our cultural center with your tax-deductible contribution. Federal Tax ID# 81-0503522 I/we wish to donate the following amount to the Rialto Restoration Fund: $25__ $50__ $100___ $250___ $300/ea____ for ____SEAT(S) $500___ $1,000___ $2,500___ $5,000___Other___ Amount Enclosed_____ Pledged for 2011____ Pledged for 2012______ Name________________________________________ Phone_______________ Mailing Address______________________________________________ ______________________________________email__________________________ Thank you for your help. Some businesses match employee contributions to non-profits. This donation is in memory of ____________________________________________________ OR This donation is in honor of___________________________________________________ Please notify _________________________________________________________________ Address:_____________________________________________________________________
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