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Yes, I want to help Family Medicine speak with
a stronger voice in Louisiana!

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I have read and agree to the following: I am aware of the political purposes of LaFamPac; understand that contributions to LaFamPac are purely voluntary and that these suggested contribution amounts are only guidelines. I further understand that I will not be favored or disadvantaged by reason of the amount of my contribution or a decision not to contribute. I further understand that contributions to LaFamPac are not tax deductible for Federal Income Tax purposes. Yes No

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Thank you for your donation. You will receive a receipt once your credit card has been charged. If you have any questions, contact the LAFP at 225-923-3313 or email at pac@lafp.org.

Louisiana Academy of Family Physicians
919 Tara Boulevard
Baton Rouge, Louisiana 70806

800.375.5237 | 225.923.3313
225.923.2909 (Fax)
info@lafp.org

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