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        Credit Card

      • ACKNOWLEDGEMENT FOR PLAQUE (Choose one then list name to go on plaque)
      • How did you hear about the Adopt a Lighted Tree or Wreath program?*

      • TO PAY BY CHECK, PLEASE PRINT THIS FORM AND MAIL TO:

        Mainspring of Ephrata

        16 East Main Street

        Ephrata, PA 17522

        Make check payable to Mainspring of Ephrata   

         

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