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#LibertyGivesBack

Charity nomination

Please complete the form below to nominate a local charity in the Philadelphia or Harrisburg region to benefit from the #LibertyGivesBack initiative:

Nominator

Details of the person submiting the nomination.

Nominee Information

Details about the charity being nominated.
Charity must be a 501(c)(3) non-profit corporation, authorized to accept charitable donations.

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