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.
.

Please  E-mail Us to
[email protected]
.
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