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
1143 Northern Boulevard, #154
Clarks Summit  18411  Pennsylvania

Need more information? We prefer that you e-mail or call according to our schedule (click here).

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