American
River Alano
P.O. Box 2354, Orangevale CA,
95662
Name: ______________________________________________________
Address: ___________________________________________________
City/State/Zip: ________________________________________________
Phone: _______________________________________________________
Donations are tax deductible, a
receipt will be mailed. Tax ID# 94-3224987
Yes, I want to become a member and help support recovery in my community! A membership card will be mailed to me.
No, I am not interested in membership at this time. Please except my donation of $ _____________.
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$10.00 |
$25.00 |
$50.00 |
$100.00 |
$ Other |