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Due to Spam Abuse
On-line Donations & Contributions Are No Longer Possible.
Please Print this Form and Mail
to
The Council of the Obsidian, Inc.
P.O. Box 60828
Washington, DC 20039
Yes, I am committed to building a better tomorrow.
Name _______________________________________________
Address______________________________________________
City_________________________State______ Zip___________
Phone (day)___________________(eve)____________________
Email _______________________________________________
I can help The Obsidian in its work by:
[] Offering my time, energy, and expertise through the Obsidian
Network.
___ administrative areas
___ public relations
___ workshops & training (specify areas)
__________________ _________________ ______________
___ other (specify) ______________________________________
Supporting the work of The Council of the Obsidian, Inc. as
a:
[ ] "Dollar a Day" - $365.00 Sustaining Contributor
[ ] $______ Cultural Exchange Scholarship Fund Sponsor
[ ] $______ Fondation Tabax Subė
(West Africa Programs)
[ ] General Supporter
[ ] Contributor - The Fund for Micro-Business Development
[] Suggesting that the following people be contacted.
Name ________________________________________
Address ______________________________________
_____________________________________________
Phone (d) ________________(e)___________________
Email _________________________________________
Name ________________________________________
Address ______________________________________
_____________________________________________
Phone (d) ________________(e)___________________
Email _________________________________________
[ ] My name can be listed as a donor in the Council of the Obsidian
Annual Report
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