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CFCGNO

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Fillable 2011 Pledge Form - CFCGNO

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Combined Federal Campaign for the Greater New Orleans Area CFC FOR THE GREATER NEW ORLEANS AREA 2515 Canal Street, New Orleans, LA 70119 PRINT NAME (LAST) FIRST MIDDLE INITIAL CHECK (if applicable) I Civilian I Military FEDERAL AGENCY AND OFFICE CFC Campaign City/State Code: ATTENTION PAYROLL OFFICES: Only use this number to identify No. 0372 22 1690 the local campaign. SOCIAL SECURITY NUMBER /EMPLOYEE ID PLEASE USE BALLPOINT PEN AND WRITE FIRMLY WORK ADDRESS & ZIP CODE WORK PHONE ( CONTRIBUTION: More


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CFC ies 2012 OPM 2011 Undesignated SSN federated authorizes noncompliance furnishing applicable taxing deducted CONTRIBUTOR allotment BALLPOINT gov designate payable disclosed pledges INTERVAL furnish disclosure deduct expires charities OPTIONAL revoked


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