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65 Year Special Project Campain Pledge Form

Ways to Make Your 65th Campaign Pledge

We’ve made it easy to choose the option that works best for you:

Print & Mail: Download the pledge form below, print it, fill it out, and mail it back to us.

Email: Download the form, fill it out electronically, and email it to rparman@regionalrehabcenter.com.

Online: Use the link provided to make your pledge directly through the CREATE Foundation’s website.