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PUBLIC ALLIES SIIICON VALLEY � ���tl`� Public ALLies San Frencisco <br /> 600 Valley Way Ste. C, Milpitas, CA 95035 �!� :ALLIES 1385 Mission Street� Sen Frencisco� CA 94103 <br /> PHONE 408.586.7633 � FAX408.586.763 �. �.i Phone:415.981.1960 Fax: 415:981.1962 <br /> Nevr Leadership for Nea� Times <br /> Partner Organization 2011-2012 <br /> Billing/Payment Contact Information Request Form <br /> Name of Organization: l..I'�'� aY K ctiaocA C� �'d'�-` /�Ou r�5 n, <br /> �YY1 CY1l.lX1 �`� �' � l� <br /> Mailing Address: o`Z60� M �ddle�;�(d. Rc� • <br /> R�olwoad L'�� , C;Q `t 4?56 3 <br /> Name of Chief Financial Officer or staff member responsible for billing/payment: <br /> E� I Z�h �l'1� QC�O�-1 C� S <br /> Title: ���'Y1 �tn� S"fY�'. {� v`c C�P�r�c �� I <br /> E-mai�: C�,b�a;ctsC redwoadcr-hy.o�_ <br /> Direct Line: l � �� �"������� <br />