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NATIONAL FLAG FOUNDATION

MEMBERSHIP APPLICATION

I am delighted to support National Flag Foundation's patriotic programs and activities. In support of the foundation's educational endeavors, I am enclosing a tax deductible contribution in the following amount:
$1,000 __ $500 __ $250 __ $100 __ $50 __ $35 __ $25 __ $17.76 __ Other $_________

My check made payable to "National Flag Foundation" is enclosed.

I would like to use my credit card to make a tax deductible contribution. Please charge my contribution to my: VISA__ MASTERCARD__ DISCOVER__ AMEX__

Card #________________________________ Exp.___ / ____
Signature __________________________________

Join Today! 800 615-1776 or 412 261-1776

Full Name (please print) __________________________________
Address _________________________________________
City ___________________________________________________
State_____________________ Zip_________________________
Phone (____) _____-__________

Pennsylvania law requires that we provide the following notice:
"A copy of the official registration and financial information may be obtained from the Pennsylvania Department of State by calling toll free (within PA) 1-800-732-0999. Registration does not imply endorsement."