| Please send me the following number of these Limited Edition Prints: | |
| No. of prints @ $275.00 |
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| I would like to make a further donation to the Foundation "Aghavnee's Angel Call" : | |
| Donation amount: | $………………… |
| TOTAL ENCLOSED: | $………………… |
| I wish to pay by (please tick as appropriate) | |
|
Cheque |
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Money Order |
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| (please make checks payable to "Aghavnee's Angel Call") | |||
| First Name | ............................................................................................. |
| Last Name | ............................................................................................. |
| Address | ............................................................................................. |
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| Phoone | ............................................................................................. |
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