Dana Adobe Nipomo Amigos · DANA Membership/Donation Form

I would like to give a gift in the amount of:

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$2,500 - COMPADRE MEMBERSHIP

$1,000 - DON/ DOÑA MEMBERSHIP

$500 - CAPITÀN MEMBERSHIP

$250 - MAYORDOMO MEMBERSHIP

$100 - VAQUERO MEMBERSHIP

$75 - FAMILIA MEMBERSHIP (MAX 6 PEOPLE)

$40 - AMIGO MEMBERSHIP ( 1 PERSON)

$

Gift Schedule

This gift is for:

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# of People

The number of people included in your membership.

# of People

The number of people included in your membership.

Please specify what your gift is going towards.

Tribute Donation

In Honor of...

In Memory of...

Name

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First Name

Last Name

Email

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Phone

Billing Address

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Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Would you like to receive DANA Email News?

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