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Dating Pledge CardsORDER FORM
Thank you for helping raise awareness about dating violenceby agreeing to distribute Dating Pledge Cards.Together we can help stop dating violence!
First Name Last Name Organization Address City State Zip email phone fax Schools Served Number of Cards Requested 50100200400600moreComments:
Your tax-deductible donation will help me reach my goal of distributing 1 Million Dating Pledge Cards
in honor of my daughter, Emily Rachel Silverstein(June 27, 1989-April 9, 2009)
StopDatingViolence.org is a project of the 501c(3) The Emily Fund / The Emily Silverstein Fund, Inc.