First Name(Required). Fill out the form below to receive your donation receipt.Your receipt will be emailed to the address you indicate. Once this form is submitted, you can print a copy for your records and will also receive a copy to the email address you provide. Payment Information: Thank you for your gift! I have enclosed a check in the amount above made payable to Pennsylvania Health Law Project. Fill out this form to generate and email a Planet Aid receipt for your donation. Donors should consult a tax advisor before claiming deductions. Materials donated to Goodwill are tax deductible. Please retain this slip to serve as a receipt of your contributions.

Printable Donation Receipt With Code In Philadelphia

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