BUY A BRICK PROGRAM

We are raising money to help pay for our new senior citizens center. 
 

YES -- I (We) want to help.  I (We) would like to support the new senior center and buy a brick. 

Please provide the following contact information and we will mail you an order form:

First Name
Middle Initial
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

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MAC
Your Area Agency on Aging
1504 Riverside Drive, Salisbury MD 21801
A United Way Agency

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Copyright © 2008 MAC Incorporated
Last modified: 19 March  2008