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The American Red Cross


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United Way # 8019
CFC # 99248

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Lifeline

125 Years

The American Red Cross

 

Instructions:

Option 1:
Complete Form Mail with Check or Money Order payable to:

Arlington Red Cross
4333 Arlington Boulevard
Arlington, VA 22203



Orders processed within ten days of receipt unless otherwise stated or you will be contacted.   All prices shown are subject to an additional $5.00 shipping and handling charge.

 

Name:
If using credit card, enter name on card.

Street:

City:

State:

Zip Code:

Primary Phone Number:

Best Time to Call:

E-Mail Address:

First Item Ordered:

Second Item Ordered:

Third Item Ordered:

For more than three items, please submit another order.

IF USING CREDIT CARD: Complete below

Total Amount of Items Ordered:
Shipping and handling charge will be added.

Type of Credit Card:

Credit Card Number:

Expiration Date:

MESSAGE TO US:
For shirts, note size.

 

 

 

 

_____________________________________________________________________________________________________________________________

Arlington Red Cross
4333 Arlington Blvd
Arlington, VA 22203
Phone: 703-527-3010
Fax: 703-527-2705
United Way # 8019
CFC # 99248
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