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Pennsylvania Parks & Forests Foundation LHHT Shelters Name Address City State ZIP Phone Email Make your check payable to PPFF and mail along with this form to: PPFF, 1845 Market Street, Suite 202, Camp Hill, PA 17011 7KH RIILFLDO UHJLVWUDWLRQ DQG ILQDQFLDO LQIRUPDWLRQ RI 3HQQV\OYDQLD 3DUNV DQG )RUHVWV )RXQGDWLRQ PD\ EH REWDLQHG IURP WKH 3HQQV\OYDQLD 'HSDUWPHQW RI 6WDWH E\ FDOOLQJ WROO IUHH ZLWKLQ 3HQQV\OYDQLD --- 5HJLVWUDWLRQ GRHV QRW LPSO\ HQGRUVHPHQW To make a credit card payment, please fill out the information below: Name (as it appears on card) Address City/State/ZIP □VISA □MasterCard Card Number Expiration Date Security Code Signature Please update my subscriptions: □ I would like to receive my newsletter (Penn’s Stewards) by email □ Sign me up for Take Five/Fridays with Pam (weekly) □ Sign me up for Explore PA (bimonthly) □ Adopt a Shelter $1,250 Earmark my contribution for: □ Route 56 □ Grindle Ridge □ Wherever needed □ Other Donation $______ □ Route 31 □ PA Turnpike
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Make your check payable to PPFF and mail along with this form to: PPFF, 1845 Market Street, Suite 202, Camp Hill, PA 17011
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To make a credit card payment, please fill out the information below:
Name (as it appears on card)
Address
City/State/ZIP
□VISA □MasterCard
Card Number
Expiration Date Security Code
Signature
Please update my subscriptions: □ I would like to receive my newsletter (Penn’s Stewards) by email □ Sign me up for Take Five/Fridays with Pam (weekly) □ Sign me up for Explore PA (bimonthly)
□ Adopt a Shelter $1,250
Earmark my contribution for:
□ Route 56 □ Grindle Ridge □ Wherever needed
□ Other Donation $______
□ Route 31 □ PA Turnpike
