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A Disability Services Organization


DIAL, Inc. Donation Application Form


I would like to donation to DIAL, Inc. Center for Independent Living.


Corporate or
Personal Name
Address
City
State
ZIP Code
Telephone Number

Donation Options (tax deductable):
Private Donation
Corporate Donation


Send your donation check or money order to:

DIAL, Inc.
Center for Independent Living
2 Propect Village Plaza
Floor 1
Clifton, NJ 07013-1918

If you wish to download the donation form, please visit the downloads page located on the menu bar for the DIAL, Inc website.





 
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