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New York Foundation for Senior Citizens

"In Your Hands" Order Form

To order "In Your Hands": Please Fill out the order form below and mail check for $129.00 payable to New York Foundation for Senior Citizens.

Mail to: Linda Hoffman, President
New York Foundation for Senior Citizens
11 Park Place, 14th Floor
New York, NY 10007-2801
Purchase $129.00 (shipping and handling included)

Name_________________________________________________________

Organization_________________________________________________

Street Address_______________________________________________

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NYFSC 11 Park Place, 14th Floor, New York, NY 10007-2801, (212) 962-7559