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Donation Form

$

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Personal Info

In order to make an offline donation we ask that you please follow these instructions:

  1. Make a check payable to ""
  2. On the memo line of the check, please indicate that the donation is for ""
  3. Please mail your check to:

    
    111 Not A Real St.
    Anytown, CA 12345

All contributions will be gratefully acknowledged and are tax deductible.

Donation Total: $10

We accept checks and money orders

United Way#

122481

Contact Information

ADDRESS :

5315 Hillcrest Street Pittsburgh, PA 15224

PHONE :

(412) 404-2250

FAX :

(412) 361-5040