| It's not too late to donate to
the Building Fund…
All donors contributing $100 or more will receive permanent
recognition in the building.
I want to help Build a Future for the PACD by contributing:
___ $25 ___$50 ___$100 ___$250 ___$500 ___$1,000
Other: $_____
Please print legibly:
Name: ______________________________________________
Address: ____________________________________________
County: _____________________________________________
Phone: _____________________ Fax: _____________________
E-mail: ______________________________________________
Occupation or type of organization: _________________________
Total amount enclosed: $__________
Please make check payable to "PACD" and mail
with this form to:
PACD
25 North Front Street
Harrisburg, PA 17101
Thank you. Your contribution is tax-deductible.
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