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Date_____________________________
First Name________________________
Last Name________________________
Organization_______________________
Street Address_____________________
City_________________ State________ Zip___________
Email____________________________
I would like my gift of $__________________ to go toward: (circle one)
OBey Foundation General Operating Fund
The Drum Call
Grass Roots Salute
OBey Theatre Group
Youth Care
Ghana Educational Endowment Fund
A.S.E.
Print out this form make all CHECKS or MONEY ORDERS payable to OBEY FOUNDATION and mail to:
OBey Foundation
P.O. Box 7030
Wilton, CT 06897