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Yes, I will contribute to Universe Spirit!

Here is my contribution to support your Universe Spirit mission.
$100 $250 $500 $1,000 $5,000 Other $________
by Check/Am Ex/MasterCard/Visa/Discover OR I will contribute $ ___________ each month
by Check/Am Ex/MasterCard/Visa/Discover
Signature __________________________________________
Card # ____________________________________________
Name on card ______________________________________
Expiration date ______________________________________
Telephone _________________________________________
Address ___________________________________________
__________________________________________________
Email: _________________________
Please return to: Integrative Spirituality, PMB 2167 1650 Casino Drive, Laughlin, NV 89029 FAX: 1-866-812-6828
(All contributions to Universe Spirit go through our non profit corporation Integrative Spirituality are tax deductible in the U.S. Please print this form and mail it or FAX it to us. Thank you!) |
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