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FRIENDS ANNUAL PAYMENT FORM
Level Amount
*
$100
-
Gold Level: Limited-edition T-shirt
$50
-
Copper Level: Owl of Minerva enamel pin
Recurring or One-Time?
One Time
Yearly
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
*
Gift Delivery
*
Choose pick up, by mail, or no gifts at all.
select one
Pick up at The Cedars Union
Please mail to my address
NO GIFT (full amount deductible)
GOLD t-shirt size, if applicable
Extra-Small
Small
Medium
Large
Extra-Large
Extra-Extra-Large
