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PELICAN NEST LEARNING  RESOURCE CENTER BATON ROUGE LOUISIANA

To make a donation to Pelican Nest, please print this form,
fill it out and mail it with your check to the address listed
below the form
, or
follow the directions below to donate via credit card.

Make more copies of this donation form as needed.
Name



Business


Mailing Address


City

State


Zip
Phone


Email

Please check one box below to designate how you would like your donation to be used
Memorial
print the name(s) below of those you would
like to dedicate with this donation






Unrestricted







Scholarship







Building Fund







Other








If paying by credit card please call:

Hambrock Holistic Healing Center

703-435-2877
~
have your credit card ready~

If you get an Answering Machine
please leave your name and number and
someone from the office will call you back
.

for more information, you may contact
Ollie Mock Doucette, CEO
pelicannestlrc@aol.com
Tel: 225-383-4570

Please make your check payable to:

Pelican Nest Learning and Resource Center

Please mail this form and your check to:

Pelican Nest
P.O. Box 16004
Baton Rouge, Louisiana 70893



Thank you very much for your support of our vision for eco-green sustainable communities
and the education of disadvantaged youth in Baton Rouge, La., and Northern Virginia.
We are a non-profit 501(c)(3)education. Your donation is fully tax deductable.