Enclosed is my check in the amount of $_____
Name ________________________________________
Street ________________________________________
City __________________State _____ Zip __________
Phone(_____)__________________________________
Email ________________________________________
Thank you for your generous support!
Print this form, detach at the line and mail to:
Old Bedford Village
220 Sawblade Rd
Bedford PA 15522
220 Sawblade Rd. Bedford, PA 15522 Phone (814) 623-1156
© 2008 Old Bedford Village
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