PLUTONIUM FREE FUTURE - - Campaign for a Plutonium Free World
P. O. Box 2589 - - Berkeley, California 94702 - - USA
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CONTRIBUTION FORM
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We welcome and appreciate your contribution of any amount in support of the
Campaign for for a Plutonium Free World, coordinated by Plutonium Free
Future in collaboration with concerned citizens and organizations around the
world. Plutonium Free Future is a non-profit, tax exempt (USA), educational
organization. To make a contribution please complete the following four steps:

1. Print this form now by clicking on the print button of your web browser.
   
2. Fill in your name, address and amount of contribution on your
   paper copy of the form.
   
3. Make your check or Postal Money Order payable to
   Plutonium Free Future - PFW Campaign.
    
   Outside the USA please make your check or money order payable
   in your own national currency (Francs, Yen, Pounds, etc.) 
   
4. Mail your check (or money order) and this form to the address shown above.

Thank you on behalf of the web of life and all future generations.

PLEASE PRINT

Amount enclosed: _____________________

Name: ___________________________________________________________

Address: _________________________________________________________

_________________________________________________________________

_________________________________________________________________

_________________________________________________________________

Telephone: ___________________________________

Fax Telephone:________________________________

E-Mail Address: ______________________________

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