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:________We are pleased to announce that Lifesavers, Inc. can now accept your MasterCard, Visa, American Express, or Discover credit card donation. Simply print this form from your computer screen, fill out your credit card information and send it to the Lifesavers' address at the bottom of this page, or fax it to (661) 727-1305. Remember, your donation is tax deductible! Thank you.
Name:__________________________________________________________
Address:_________________________________________________________
City, State, Zip:___________________________________________________
Phone:__________________________________________________________
Check/Money Order enclosed:_______ OR
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American Express ________ Discover ________
Card Number:____________________________________________________
Expiration Date:___________________________________________________
Amount of Donation: $______________________________________________
Cardholder Name: (please print)_______________________________________
Signature of Cardholder:_____________________________________________
Send donations to: Lifesavers, Inc., 23809 East Avenue J., Lancaster, California 93535
Phone for more information: 661-727-0049 or email lifesavers@wildhorserescue.org
© 1997 Lifesavers, Inc.