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Financial Contributions
The SE WI Health Disparities Initiative pledges to
optimistically commit to reducing or eliminating health disparities for
the developmentally disabled. Financial support is necessary to assist
with costs related to research, travel, promotion, education,
etc.
Please consider helping us with a pledge of financial
support today.
First
and Last Name
Occupation
Organization
Address
City,
State Zip Code
Telephone
E-mail
Address
Financial
Support - I Pledge:
$25
$50 $100
$250 Other $
We
thank you for your pledge of financial support.
Monies
can be sent in the form of money order or personal check to:
SE
WI Health Disparities Initiative
to
Mary
Schinkowitch
C/O
United Cerebral Palsy
7519
West Oklahoma Avenue
Milwaukee,
WI 53219
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Last Revised:
January 24, 2008
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