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Environmental problem in Pennsylvania?

Please download and print this PDF document... or just print this page and send it with your check made out to "PEDF" to:
PEDF, PO Box 371, Camp Hill PA, 17001-0371


Name __________________________________________
Address__________________________________________
City __________________________________________
State __________________________________________
Zip __________________________________________
Email __________________________________________
Check Amount: __ $25 Junior (under 18) or Senior (65 and over)

__ $35 Individual

__ $50 Family

__ $100 Non-profit Organization

__ $200 Corporate

_______ Additional donation
Comments________________________________________

________________________________________

________________________________________

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