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Date Amount Total Fraternal Department 1900 First Avenue NE Cedar Rapids IA 52402 wflains wflains. org 877-935-2467 Updated July 2016. Monetary Donation Form Lodge Number Lodge Location City/State Lodge Treasurer Phone c One and Two Star Level 20 c Three and Four Star Level 25 c Five and Shining Star Level 30 Please attach proof of monetary donations bank statements copies of checks meeting minutes with amounts etc. Donation Cannot use memorials to families or in-kind donations 1.
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