Golden Rule Lightkeeper Awards Nomination Form

Nomination Form

First name

Last name

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Email

Phone

What organizations has the nominee volunteered with?

How many years has the nominee been a volunteer

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ABOUT US

The Mature Resources Area Agency on Aging, Inc. is designated as a 501(c)(3) charitable organization by the Internal Revenue Service. In addition, the Area Agency on Aging is registered as a charitable organization with the Pennsylvania Department of State. A copy of the official registration and financial information may be obtained from the Pennsylvania Department of State by calling toll free within Pennsylvania 1-800-732-0999. Registration does not imply endorsement. We are a United Way Member Agency.

CONTACT INFO

814-765-2696

600 COOPER RD.

CURWENSVILLE, PA 16833

116 South Second St.

CLEARFIELD, PA 16830

mail@matureresources.life

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