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![]() To make a donation to UNO TRAC, please print this page, fill it out, and return with your check or credit card information to: UNO TRAC NAME: ADDRESS: ____________________________________________________________________________________ CITY, STATE: ____________________________________________________________________ ZIP CODE: ______________ PHONE:__________________________________________________ E-MAIL: _________________________________________________
ENCLOSED IS MY GIFT OF: $500 $250 $100 $50 $25 $_____________
METHOD OF PAYMENT FOR YOUR GIFT: CHECK VISA MASTERCARD IF YOU ARE USING A CREDIT CARD PLEASE COMPLETE THIS SECTION: CREDIT CARD #______________________________________________________________________________ EXPIRATION DATE: __________________________________ I would like my donation to help support UNO TRAC:
Hurricane Katrina Recovery and Rebuilding THANK YOU!
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