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If you are self-employed, please list the name of the entity that is on your paycheck. Please list your line of work. "Business Person" is not acceptable, please enter the type of business instead.

We respectfully request that Partners of Partnerships and Members of LLC's contribute individually, instead of through their respective business entity.

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Donation Total: $25.00 One Time

If you would prefer to send a check, please make it out to “Friends for Bita Yeager” and mail it to the address below:
10120 W. Flamingo
Suite 4162
Las Vegas, NV 89147