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Please print, fill out, and mail in form to:
Donkey Mill Art Center
78-6670 Mamalahoa Hwy.
Holualoa, HI 96725
Level of Support:
| □ One Quarter $250 |
□ One Semester $500 |
□ One School Year $1,000 |
□ Other $____________ |
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NAME / BUSINESS (PLEASE PRINT)
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E-mail Address
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ADDRESS
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| CITY |
STATE |
POSTAL CODE |
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Payment Method:
□ Check
□ Credit Card
Please charge my:
□ Visa □ MasterCard □ American Express
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CARDHOLDER’S NAME (AS IT APPEARS ON CARD)
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CARD #
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EXPIRATION DATE
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SIGNATURE
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