World Unity Inc.   

2 Eliot Place

Jamaica Plain, MA 02130

Tel. (617) 971-0317   Fax  (617) 971-0317

                 I would like to make a $______________   donation to support World Unity.

               I would like to attend your next event.  Enclosed is payment in the amount of 

                $_______________ For _____________ Tickets at $ ______________ each.

       Enclosed is payment for the following:  ___________________________

                Check enclosed (make payable to World Unity Inc. and mail with this form to the  address shown.)

         Charge my credit card:               VISA                 MasterCard  

 (Complete cardholder information below and Fax to World Unity Inc. at (617-971-0317)

 Card No: __________________________________________  Exp.  date:  __________

 Name:    ______________________________________________________________

 Address:  ______________________________________________________________

 City:        ________________________________  State  ______     Zip  ___________

 E-Mail     _____________________________________________________________

 Tel:         ______________________________________________________________

We Appreciate your Support

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