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| MAIL OR FAX DONATION FORM
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DESCRIPTION |
AMOUNT |
| Donation |
Please bill the following MC/Visa
Name on Credit Card:___________________________________
Credit Card Number:____________________________________
Expiration Date:________________________________________
Signature:_____________________________________________
Name:________________________________________________
Company:_____________________________________________
Address:______________________________________________
City/State/Zip:_________________________________________
Daytime Phone Number:_________________________________
E-Mail Address:________________________________________
Fax this Donation Form to: 1-808-935-4723 or Mail to: 94 Halai Street,
Hilo, HI 96720. If you have any questions you may email or telephone. You
may donate with traditional methods such as check or money order also. Thank you for
your donation!
consulttt@hotmail.com