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2024-25 Rebate Request

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1. *

Name:
2. *

Email:
3. *

I am a member of...

 (1 required)
Adventure Club CHASE
CHEX CHOS
Conestoga Valley Homeschoolers (Lancaster) Cornerstone (lower or upper)
Evergreen Firm Foundations
Firmly Planted Classical Community Heritage Homeschool Academy
Learning Station Manheim Area Christian Home Educators (MACHE)
Second Plane Homeschool Collective Solid Foundation
T.E.A.C.H. Treasures of Grace
4. *

Please choose one option:
I would like to receive my rebate(s). (Rebate will be mailed) I would like to donate my rebate(s) to CHALC. (Rebate will use to fund CHALC programs. Thank you!)
Your records are incorrect.for 2024-25; I a member of only one CHALC group.

 

If you have chosen to receive your rebate(s), please provide your address:
5. 

Street Address:
6. 

City/Town:
7. 

Zip Code: