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Caring Card

We must have your home address in order to mail your card to you. If your employer does not supply Lorain County United Way with home addresses, please use this form to send it to us. If your company supplies your address and you send us this form, you will only receive one card. Thank you.

Your Company Name*:

Your Full Name*:

Your Home Address*:

Home Address (Line 2)

City, State Zip*:
       
Your Preferred Email Address*:

Lorain County United Way Community Care Fund Gift Amount*:

 

 

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2008 Campaign Chair

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