Endorsement Mail Return Form

Pro-Truth Endorsement Form

(___) YES, I endorse using the freedom of religion approach
to protect women's reproductive rights.

Please print Clearly

Your Name: ______________________________________________

Mailing Address: __________________________________________

City:_____________________ State:__________ Zip:___________

Your Signature:___________________________________________

E-mail Address: (optional) __________________________________

Phone Number: (optional) __________________________________

Their Name: _____________________________________________

Mailing Address: __________________________________________

City:_____________________ State:___________ Zip: __________

Their E-mail Address: ______________________________________

Phone Number: ___________________________________________

Can we say that you referred them to us: _______ YES ______ NO

__________________________________________________________________

I am enclosing a donation of $ __________________

Make your check payable to The Life Center.

Donations to The Life Center to use for it's general use are tax deductible.

Donations used for the abortion issue are not tax deductible.

The Life Center, 8335 Winnetka Ave. #107, Canoga Park, CA 91306

Pro-Choice Pro-Truth Pro-Life

25a --- Donations --- Mail Return Form

http://www.pro-truth.net/25a-donationl-return-form.html

...