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| Comforting Hearts Newsletter Form (print friendly) is for those of you who are not a member of our support group who wish to receive a copy. This form is also for those who wish to receive more than one copy of the newsletter as they are published. There is a small fee included, due to expenses. All proceeds go directly to funding this newsletter. A receipt will be sent to you once money is received. Thank you; we hope you enjoy Comforting Hearts! Name:______________________________________________ Street Address:________________________________________ City, State:___________________________________________ Zip:_____________ (Please indicate which subscription you would like to receive) ___One Year Subscription: $5.00 ___Two Year Subscription: $10.00 (Sorry, we do not accept personal checks at this time.) Please send this form and your payment to: Melissia Eachus C/O CHN-MAD AT SIDS 543 Hand Ave. Lancaster, PA 17602 |
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