Support AMOLA: How to Give by Mail

Please print out, complete, and mail this form with your check or money order to:

AMOLA
P.O. Box 5466
Washington, D.C. 20016

Thank you for your support!

Name _________________________________________________________________

Street ________________________________________________________________

City ___________________________________ State _____ Zip ________________

Telephone ______________________ E-mail _________________________________

Amount Donated ________________________________________________________

Please check here if:

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