Maharishi School of the Age of Enlightenment
Spring 2001 Annual Fund Campaign

Please print the form below and send to:
Maharishi School of the Age of Enligtenment
Spring 2001 Annual Fund Campaign
804 North 3rd Street
Fairfield, IA 52556
Phone: 641-472-0094
Fax: 641-472-1211

Donor's Name

Address

City, State, Zip

Phone:

Donation Amount:
$100 Seating at dessert banquet
$250 Seating at dessert banquet and your name on the new picnic table
$500 Seating at dessert banquet and your name on the new swing set
$1,000 Head table seating at dessert banquet and your name on the new gazebo
$1,500 An Executive Table at dessert banquet and your name on the new gazebo
$10,000 Head table seating at dessert banquet and your name your plantation swing
Other

Number of people attending dessert banquet:

Name of person who inspired this donation:

Method of payment: (Please select one)
Cash   Check   MasterCard   Visa

For credit card payment:
Card Number:
Exp. Date:
Card Holder's Name:
Authorization Signature for fax/mail-in:

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