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“Give $100 and Feel Like a Million!”
Shriners Hospitals for Children® is a unique health care system with a reputation for finding
answers and giving families hope. At our locations in the U.S., Canada and Mexico, children
receive excellent care for orthopedic conditions, burns, spinal cord injuries and cleft lip and palate,
regardless of the families’ ability to pay or insurance status. Since opening our first hospital in
1922, the health care system has improved the lives of more than 1.5 million children.
There are no restrictions for membership! Everyone can become a member: Shriners, Masons,
Family members, Friends, Co-workers, neighbors, companies, organizations etc.
Each donor will receive a handsome “100 Million Dollar Club” certificate.
Application for membership - $100 Million Dollar Club
I hereby make a TAX-DEDUCTIBLE contribution of $100.
Make check payable to: SHRINERS HOSPITALS FOR CHILDREN
Name:_____________________________________________________________
Address:___________________________________________________________
City:___________________________________ State_______ Zip___________
Phone:____________________________E-mail___________________________
Please have the certificate read as follows:
___________________________________________________________________
Send your application to:
Rajah Shrine
P.O. Box 40
Blandon, Pa. 19510-0040 1/2022
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