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 ___________________________________________

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Email: _________________________

Please return to: Factnet, PMB 2167 1650 Casino Drive, Laughlin, NV 89029

(All contributions to Universe Spirit go through the IRS recognized 501(c)(3) nonprofit educational organization Factnet and are tax-deductible in the U.S. Please print this form and mail it to us. (Please note that mailing donations can take up to 7 to 10 business days to receive and a week to process before you will receive your donation receipt acknowledgment.)

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