{"content":[{"text":"American Skin Association","bbox":{"left":0.285376,"top":0.065061,"width":0.428974,"height":0.040424}},{"text":"Donation Information \n Full Name: \n Mailing address: \n City: \n State: \n Zip code: \n Telephone (home): \n Telephone (business): \n E-Mail:","bbox":{"left":0.088235,"top":0.138753,"width":0.18441199999999996,"height":0.21481000000000003}},{"text":"(As you wish to be listed)","bbox":{"left":0.50482,"top":0.186847,"width":0.15161800000000003,"height":0.015159000000000006}},{"text":"I would like to make a tax-deductible gift of $_______________ .","bbox":{"left":0.088235,"top":0.367896,"width":0.520311,"height":0.020212000000000008}},{"text":"I am making this gift: \n Name: \n Occasion:","bbox":{"left":0.088235,"top":0.406078,"width":0.173896,"height":0.064909}},{"text":"in honor of","bbox":{"left":0.334003,"top":0.406078,"width":0.08888200000000002,"height":0.020212000000000008}},{"text":"in memory of","bbox":{"left":0.505212,"top":0.406078,"width":0.10888200000000003,"height":0.020212000000000008}},{"text":"Please send an acknowledgement to: \n Name: \n Address: \n City: \n State: \n Zip Code:","bbox":{"left":0.088235,"top":0.493957,"width":0.28731399999999996,"height":0.13508600000000004}},{"text":"Enclosed is my company’s matching gift form.","bbox":{"left":0.135333,"top":0.652647,"width":0.368491,"height":0.01677899999999999}},{"text":"Signature: \n Date:","bbox":{"left":0.11651,"top":0.685346,"width":0.08039199999999999,"height":0.043242}},{"text":"How did you hear about American Skin Association? _____________________________________","bbox":{"left":0.088235,"top":0.743982,"width":0.790258,"height":0.020212000000000008}},{"text":"Comments you would like to share with us? _____________________________________________ \n _________________________________________________________________________________","bbox":{"left":0.088235,"top":0.776293,"width":0.8038660000000001,"height":0.04551499999999997}},{"text":"Please make checks payable to: American Skin Association, 335 Madison Avenue, 22nd Floor, \n New York, New York 10017. \n Thank you for your generosity. All contributions are tax deductible to the full extent of the law. American \n Skin Association, Inc. is recognized as tax exempt under section 501(C)(3) of the Internal Revenue Code, \n Tax ID # 13-3401320.","bbox":{"left":0.088235,"top":0.834172,"width":0.768324,"height":0.09926000000000001}}],"images_bbox":[{"left":0.1875,"top":0.066604,"width":0.073693,"height":0.056793}],"images_bbox_not_text_overlap":[{"left":0.1875,"top":0.066604,"width":0.073693,"height":0.056793}]}