SANTA MONICA MOUNTAINS FUND, 401 West Hillcrest Drive, Thousand Oaks, CA 91360 contact@samofund.org 805-370-2341

Anthony C. Beilenson Honored

In Tribute to Rep. Tony Beilenson

DONATION FORM

Please use this form if you desire to make a donation to the Santa Monica Mountains Fund in memory of Rep. Anthony C. Beilenson.  Set your donation amount by clicking in the "Choose ..." block below.  We will pass on your name and address to the Beilenson Family, if you complete the  address fields below.  (If paying by credit card, you may have to enter your address information again, because only your name and donation amount are shared with us by the bank.) We will also share with the family any condolences or tribute that you write in the "Guest Book" section.

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GUEST BOOK / OPTIONAL

Please know:  Everything in this section is optional.  You may leave it all blank or only give us your mailing information so that we can share your name with the family.  But you may also want to take the opportunity to share some thoughts with them.  If you make a donation on line, we would appreciate getting your address here so that we can provide written acknowledgment of your gift. The Santa Monica Mountains Fund is as IRS certified 501(c)(3) nonprofit and your donation is fully deductible to the extent permitted by law.
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Donation Total: $25