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Please print, fill in, and mail this form with your check to: Note: If you would like to fax this form (617-876-4277), please donate online or mail your check separately. Thanks for your generous support! |
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"We Can Create Life Without War" – Corita _____ Signed by Corita for my donation of $ __________ "So Far the Crocuses Have Always Come Up" – Corita _____ for my donation of $ __________ Nuclear Weapons testing ad/poster _____ for my donation of $ __________ Hats, buttons, posters, bumper stickers, armbands 1___________________ for my donation of $ __________ |
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Name __________________________________________________ Address ________________________________________________ City ________________________________ State ______ Zip ________ Phone ( _____ ) _______________ Fax ( _____ ) _______________ E-Mail _________________________________________________ |