25 Years of Service
Membership Form
Information and Services


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Membership Information


$15 Annual Membership
Membership Benefits

o Membership mailings/emails
o Invitation membership events
o Marketing/Promotional opportunities
o Knowledge that you are supporting HLQ





Membership Form
Information: HLQ Fund: Pittsburgh Foundation
Operational Activities/Visions and Goals
All payments are tax deductible according to 501(c)3 regulations.


   Name     ___________________________________________________________


   Address    __________________________________________________________


   Telephones and Email     ______________________________________________


   Payment Information
   ___ $15 Annual Membership   Low Income Option $___   Donation HLQ Fund  $___

   ___ Please contact me as I have interest in being involved in HLQ activities.


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HLQ Holistic; PO Box 86054
Pittsburgh, PA 15221




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