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Donate to Planet Peace |
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| Please, print this page and send it to Planet Peace with your donation. | ||||
| From: | Mail To: | |||
| Name: | ____________________________________________ | Planet Peace Affiliates 6121 Forestville Rd Raleigh, NC 27604 USA |
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| Address: | ____________________________________________ ____________________________________________ |
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| City, State, Zip: | ____________________________________________ | |||
| Country: | ______________ | |||
Call Toll Free: 888-729-8733 (US only) or 919-539-1285 for more information
or email: info@planetpeace.ws |
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Amount: |
In US$ ___________.00 | |||
| Method: | ___ Check ___ Credit Card. |
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Credit Card: |
__ __ __ __. __ __ __ __. __ __ __ __ .__ __ __ __ |
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| CSV Number: __ __ __ (last 3 digits on back of card) | ||||
| Expiration: ___ / ________ | ||||