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                                                  Quiet Creek Herb Farm & School of Country Living

                                                  Tax Free Contributions

                                                  YES! I want to help cultivate Quiet Creek Herb Farm and School of Country Living, Inc.

                                                  Enclosed is my check payable to Quiet Creek Herb Farm for

                                                  __ $1000*   __ $500*   __ 250*    __ $100*    __ $50    $25   __Other*  $_____________                                 

                                                  * For donations $100 or more you will receive a gift certificate for a Quiet Creek class worth $25.

                                                  __ Donated materials for everyday use on the farm (please list and drop by at your convenience) ___________________________________________________________________________

                                                  __ I would like this donation to be used for any priority of Quiet Creek Herb Farm

                                                  __ I would like this donation to be used for this specific purpose: _________________________    

                                                  __ I would like more information on how the corporation I work for can use its tax dollars to educate school children through Quiet Creek’s Educational Improvement Tax Credit Program.

                                                  Please comment on what you find most meaningful regarding Quiet Creek’s mission: _________

                                                       ___________________________________________________________________________

                                                  Quiet Creek Herb Farm & School of Country Living Inc, is a non-profit, 501(c)(3) organization.  Charitable contributions are tax deductible.

                                                  Name ________________________________________________________________________

                                                  Address ______________________________________________________________________

                                                  Phone ________________________________________________________________________

                                                  E-Mail _______________________________________________________________________

                                                  Please send to:

                                                  Quiet Creek Herb Farm

                                                  93 Quiet Creek Lane, Brookville, PA 15825

                                                  (814) 849-9662

                                                  Quiet Creek Herb Farm and School of Country Living, Inc.

                                                  www.quietcreekherbfarm..org  quietcreek@windstream.net

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