| Student Loan Tribute Fund Form |
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| Student Loan Tribute Fund Form I/We __________________________________wish to contribute $__________to the American Baptist Women’s Ministries of PA/DE Student Loan Fund. This contribution is made: in memory of ______________________________________________________ in honor of ________________________________________________________ |
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Send receipt to: Name:______________________________________________________ Address: ____________________________________________________ City, State, Zip_______________________________________________ Association__________________________________________________ Send acknowledgment of memorial/honor to: Name:_____________________________________________________________ Address:___________________________________________________________ City, State, Zip______________________________________________________ |
| Coordinator of Student Loan Karol Clement 3703 Harvard Road, Erie, PA 16508 email: JandKClement@msn.com |
| American Baptist Churches of Pennsylvania and Delaware 106 Revere Lane, Coatesville, PA 19320 |