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Mail-in
Donation Form Please print out this form and mail it with your check. |
I'd like to remain anonymous.
Name: 
Date:
Address:
City:
State: Zip:
Daytime Phone:
Email:
YES, I would like to be added to your email list.
YES, I would like to be added to your mailing list.Enclosed is my gift of $
Make check payable to: Makena's Ray of Hope
| Please mail this form to: | Makena's RAY
OF HOPE P.O. Box 2789 Costa Mesa, CA 92628 |