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I Want To Share My Caring For Seniors 

Your Name ________________________________________________________

	
Address __________________________________________________________

   
City ___________________ Zip __________ Phone ____________________
	


Donation Amount __________________

Please mail your donation to:

AGING AND DISABILITY RESOURCE CENTER OF BROWARD COUNTY
5300 HIATUS ROAD
SUNRISE, FL 33351
All Donations Will Be Acknowledged
The Summit of Senior Services