Easter Seals Wayne and Union Counties
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Print the form below and mail to: Easter Seals Wayne & Union Counties, P.O. Box 86, Centerville, Indiana 47330-0086 -or- bring to the office at 1050 East Main Street, Centerville.
 

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Yes, I would like to help by becoming a supporting member of Easter Seals.

Here is my gift of:

 

 

___$50*   ___$25   ___$15   ___$10   ___Other                     *With a donation of $50 or more,

you may receive a Precious Moments gift. Please call the office for details at (765) 855-2482.         

Name: _____________________________________                     

Address: ___________________________________

               ___________________________________

 

Thank you for your generosity and for helping us to create solutions

and change lives for children and adults with disabilities.

 

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Easter Seals Wayne & Union Counties
1050 East Main Street
P.O. Box 86, Centerville, IN 47330-0086
(765) 855-2482 Phone
(765) 855-4119 Fax