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YES! I want to keep the phone lines open.

Amount of my tax-deductible gift:

$25
$50
$100
$250
Other: $ 


 This gift is made:

in honor of:
in memory of:
on the occasion of:

Name or Occasion: 


 Please send an acknowledgement of this gift to:

Name:
Address:
 
City/State/Zip:


Donations can also be made by printing this form and mailing it with your enclosed check to:

CONTACT Pittsburgh, Inc.
P.O. Box 9095
Pittsburgh, PA 15224


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