United Order of True Sisters, Inc.

                                                                  Donation Form

 

                                   Please print this form, complete it, and mail to:

                                                      UOTS, Inc.

                                                      Linton International Plaza

                                                                   660 Linton Boulevard - Suite 6

                                                                   Delray Beach, FL 33444

                                                      Please make checks payable to UOTS, Inc.

  Name: ________________________  
       
  Address: ________________________  
    ________________________  
    ________________________  
    ________________________  
       
  Email Address: ________________________  
       
  Phone Number: (___)  __________________  
       
    Please Indicate Your Donation Amount
    $25 - Basic   ___
    $50 - Sustaining   ___
    $100 - Silver   ___
    $250 - Gold   ___
    $500 - Platinum   ___
    Other $______
       
    Receipt needed for taxes   ___ Yes  ___  No
       
                                                     Thank you for your support !!!

                                                                    


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