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If you wish to contact us select one of the following: COEUR D'ALENE CHAPTER BEREAVED PARENTS PO BOX 3504 COEUR D'ALENE, ID,US, 83816 Call: 208-773-5684 / 208-762-1406 Email: coeurdalenebp@aol.com / sevenbranch@netzero.net |
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( ) Add to mailing list. Mail To: Bereaved Parents, USA ( ) Remain on mailing list. Coeur d’Alene Chapter ( ) Address change. P.O. Box 3504 ( ) Remember the child below on special days. Coeur d’Alene, ID 83816-2517 ( ) Remove from mailing list. or Email info to: coeurdalenebp@aol.com ( ) Send newsletter to email address:_______________________________________ NAME__________________________________________________________________________________ PHONE_______________________________________ ADDRESS_______________________________________________________________CITY_________________________ STATE __________________ ZIP ______________ EMAIL ADDRESS___________________________________ NAME OF CHILD___________________________________________________________________________ CHILD’S AGE _____________ CAUSE OF DEATH___________________________________________________ BIRTH DATE ______________________ DEATH DATE ___________________ SON _______________ DAUGHTER ____________ I WOULD LIKE THE NEWSLETTER DEDICATED TO MY CHILD IN THE MONTH OF: ________________ I WOULD LIKE TO DONATE $______________ IN LOVING MEMORY OF ____________________________________________________________________ Our chapter newsletter can be sent by email. Send request to bpcdanews@aol.com All information received will remain confidential. It will be used for internal purposes only and not shared outside our organization. Thank you for helping us reduce postage expense. |
| Contact Us: coeurdalenebp@aol.com Webmaster: sevenbranch@netzero.com 208-773-5684 / 208 765-1406 |
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