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Print out this page and mail to the Poison Center with your donation or donate online.

Enclosed is my tax-deductible contribution to save one, two, ten ... or twenty lives!

Please check one:
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$_____ other

Name ___________________________________________________ Address _________________________________________________ _________________________________________________________ _________________________________________________________

Mail your donation to:

National Capital Poison Center
3201 New Mexico Avenue, #310
Washington, DC 20016

Your contribution WILL make a difference!


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