How can I help ?
NAME:         ______________________________________________________
ADDRESS:   ______________________________________________________
                     ______________________________________________________
                     ______________________________________________________
PHONE:       ______________________________________________________

 

    • Incredible Human Being $500+
    • Visionary $250
    • Patron $100
    • Supporting Member $50
    • Family Membership $30
    • Contributing Member $20


    ___  Please send me a CD-ROM free
            with a $30 or more membership

Please print this form, fill it in and mail the form with a check to:
Project Troubador
374 Taconic Road
Salisbury, CT 06068

All donations to Project Troubador are tax-deductible
under section 501 (c) 3 of the Internal Revenue Code.

Thank you.

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