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| First Name: | |
| Last Name: | |
| Address Street 1: | |
| Address Street 2: | |
| City: | |
| Zip Code: | (5 digits) |
| State: | |
| Daytime Phone: | |
| Evening Phone: | |
| Email: | |
| PATRON LEVEL: | ETERNAL
(REGULAR DONOR THROUGH THE YEARS TO COME) |
| | LIFETIME
(REGULAR DONOR THROUGH LIFE) |
| | ANNUAL
(REGULAR DONOR YEARLY) |
| | GENERAL
(NOT ONE OF THE ABOVE) |
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| TERMS OF PAYMENT | ANNUALLY |
| | MONTHLY |
| | QUARTERLY |
| | ONE TIME DONATION |
| AMOUNT OF DONATION: | |
RECIPE/RECIPES NEEDED (CHOOSE
FROM "RECIPE' PAGE) | |
EDUCATION GUIDE NEEDED FOR CREATING
"YOUR IDEAL LIFE" | |
| FOR ENTRY TO THE "IDEAL LIFE aWARDS" | |
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| METHOD OF PAYMENT: | CHECK
(MAIL TO: 1715-C E. GLENOAKS BLVD.
GLENDALE, CA 91206) |
| | CREDIT CARD
( E-MAIL YOUR CREDIT CARD NUMBER AND EXPIRY DATE TO: enlightenment2121@yahoo.com or just click the "DONATE" BUTTON AT THE TOP OF THIS PAGE FOR PAYPAL PAYMENTS) |
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| NOTE: PENDING TAX EXEMPT STATUS |
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