100 Lincoln Avenue
Carbondale, PA
Tel: (570) 281-1000 


CASH  DONATIONS
   

Donations  $ ____________

Donor's Name ________________________

   
 

Address _____________________________

   
 

City       _____________________________

   

 

State    ____________  Zip ______________

Please make check payable to Maxis Foundation.

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Please  E-mail Us to
[email protected]

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