Please print out this form, complete it, and send it to the address given below.
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SEND YOUR CONTRIBUTION TODAY

PLEASE GIVE GENEROUSLY TO PROTECT AND SAVE OUR MOUNTAINS!

___You may use my name, indicating I am a supporter.
___I would like to volunteer in the campaign.
___I would like to contribute:___$25 ___$50 ___$100 ___$250 ___$500 ___$1000 Other $________(Please indicate)

Name:______________________________________________________________________________
(last) (first)
Address:____________________________________________________________________________

City_________________________________________________ State_______Zip________________

Employer:____________________________(required for donations of more than $100)

Phone_____________________Work_____________________Fax__________________________

E-mail______________________________________________________________________________

Make check payable to: Save Our Mountains
Send check and form to:
Save our Mountains
PO Box 891
Palm Springs, CA 92263-0891

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