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Yes, I would like to underwrite an IN-REMBRANCE PLAQUE __________ Individual: $US 1,000. __________ Corporate/Organization: $US 1,500.
Note: All Countries Currencies Are Accepted Method of Payment: ( ) Check or Money
Order. Please make payable to:
Printed Name: _______________________________________ Address: ___________________________________________ __________________________________________________ __________________________________________________ Email Address: ______________________________________ IT IS VERY IMPORTANT THAT YOU INCLUDE AN EMAIL ADDRESS SO THAT WE MAY COORDINATE THE INSCRIPTION AND PLACEMENT OF YOUR PLAQUE. INSCRIPTION (OR USE SEPARATE SHEET OF PAPER): ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ ___________________________________________________ FAME is registered as tax-exempt in the Philippines (as a certified donee institution) and in the USA (as a publicly supported foundation) under IRC Sec. (501)(c)(3), Federal ID No. 31-1216785. Tax credits may be claimed in the donor's country of choice. Your receipt will be mailed to you. THANK YOU! |
Send to: UNITED STATES FAME, Inc. Tel. No. (513)2311273 PHILIPPINES FAME, Inc. Street Address: The American Chamber
of Commerce of the Philippines, Inc. Tel. No. (632)8187911
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