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Trust
Application
Your Name: __________________________________________________________________________________ Address of where we should send finished work: ______________________________________________________ _______________________________________________________ Phone and/or e-mail address: _____________________________________________________________________ Name of Trust: _______________________________________________________________________________ Name of Trustee (someone you trust): ______________________________________________________________ Address of Trust: _____________________________________________________________________________ _____________________________________________________________________________ Beneficiary(ies): ______________________________________________________________________________ Make, Model, Year & Color of car(s): _____________________________________________________________ _____________________________________________________________ Vehicle Identification Number(s): __________________________________________________________________ ____________________________________________________________________ If
you prefer, copy or scan your car's Title so we can get
the needed
information from it.
Trust
Indenture for one car - $150
Trust Indenture for two cars - $195 Donations can be in a Postal Money Order, preferably with the 'pay to' line left blank, or through PayPal or credit card (click here). You may also copy and past this form into an e-mail to us or fax to 570-647-0707. Penny
Pincher Press
Need more information? We prefer that you e-mail
or call
according to our schedule (click
here).1143 Northern Boulevard, #154 Clarks Summit 18411 Pennsylvania |