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In order to properly acknowledge your contribution, we ask that you provide the following information:
Name of Business/Donor: _________________________________________________________
Contact’s Name: _________________________________________________________________
Title: __________________________________________________________________________
Mailing Address: _________________________________________________________________
City/State/Zip: ___________________________________________________________________
Phone: (_____)_________________________ Fax: (_____)______________________________
E-mail:________________________________________________________________________
Payment Method: (please check one)
( )Check Enclosed (make checks payable to P.A.S. Communications)
( ) Cashier’s Check
( ) Money Order
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Return by mail to:
PAS Communications
P. O. Box 331406 Houston, TX 77233-1406
For information contact: Paralee Shivers, 713-987-9971, pshivers@pas-communications.com
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