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Spirit & Sustainability

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!)