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SUNSHINE FUND
*Form for Board and Rep Members Only
Name of person filling out form
Phone #
Name of OCM BOCES Employee
Phone #
Address of Employee
Site
Position
Select
Employee Illness/Surgery/1st Birth ($30)
Bereavement-Family Member ($40)
Member Bereavement ($75)
Identify Gift Card Purchased
For Bereavement:
Name of Deceased Person
RELATIONSHIP TO EMPLOYEE
If donation is to be sent, please fill in information:
Name of Organization
Phone #
Address of Organization
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