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CHC Signup Form

Beginning January 2008 MW&L will double your efforts to keep needy families warm this winter with a new Matching Fund Initiative.

First Name
Last Name
Account Number
Monthly Donation
Continuous Yes No
Number of Months
One Time Donation
Registrant's Phone Number
Registrant's Email Address
Service Address
Mailing Address
City
State
Zip Code

For more information contact Kathy Danforth at (503) 472-6158

 

 

 

 

 

 
This page modified on: 7-14-08 Contact Us