Tocqueville Society Membership Form

Download a PDF Version HERE

Payment Amount:
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I Would Like to Pay:
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To pay with a Credit Card:
Checks Payable to: Foothills United Way, 1285 Cimarron Drive, Lafayette, CO 80026
Please Issue Me the Colorado Child Care Tax Credit Certificate:
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Please contact Gwen Farnsworth with any questions.
Gwen.Farnsworth@UnitedWayFoothills.org
404-895-3427