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Mail-In Donation FormPlease Print and Send to: Sisters Of The Road YES!, I want to help Sisters work toward alleviating hunger and building supportive community in Old Town/Chinatown by making a donation. ( ) $35.00 ( ) $50.00 ( ) $100.00 ( ) $250.00 ( ) Other $____________ Name: ____________________________________ Daytime phone: _________________ Address: _____________________________________________________________________ _____________________________________________________________________________ __ My check is enclosed. __ Please charge my VISA/Mastercard. VISA/Mastercard No.:___________________________________ Exp. Date: ______________________________ Signature: ________________________ This donation is in memory of/honor of (please circle one): _________________________
______________________________________________________________________ ______________________________________________________________________ Thank you for your support of Sisters Of The Road! |
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Printed Mon, March 15, 2010 - 4:21:22 at www.sistersoftheroad.org
Sisters Of The Road p: 503.222.5694 f: 503.222.3028 133 NW Sixth Avenue, Portland OR 97209 © 1979 - 2010 Sisters Of The Road |