Fillable PARK AND RECREATION DONATION AUTHORIZATION TRIBAL MEMBER (Santa Rosa Band of Cahuilla Indians)

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PARK AND RECREATION DONATION AUTHORIZATION TRIBAL MEMBER (Santa Rosa Band of Cahuilla Indians)

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PARK AND RECREATION DONATION AUTHORIZATION
TRIBAL MEMBER
NAME ________________________________________________________
The Parks and Recreation Committee are campaigning to raise funds in 2020 for athletic fields,
playground equipment. One of the ways is the Committee is seeking donations from Tribal
Members via their RSTF.
Please return this form to the Tribal Administration office attention Linda Flaxbeard.
I authorize SANTA ROSA BAND OF CAHUILLA INDIANS to withdrawal $25.00
donation from each of my RSTF payments to go solely towards the Parks and
Recreation budget. My signature below indicates that I am agreeing with the donation.
Tribal Member Signature __________________________________________ Date ______________
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PARK AND RECREATION DONATION AUTHORIZATION TRIBAL MEMBER (Santa Rosa Band of Cahuilla Indians)

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Completed 27 January 2021

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