Please print this page and use this card to make your contribution to The Blind Relief Fund of Philadelphia.

Address:                                                                                                                     

Please accept my contribution of $                                                                             

This contribution is made in memory of:                                                                  

Please send acknowledgement to:

Name:                                                                                                                        

Address:                                                                                                                     

Please make checks payable to:

The Blind Relief Fund of Philadelphia
551 Walnut Lane
Philadelphia, PA 19128-1742