Donation Amount:
(USD) U. S. dollars only |
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Your Name: required for reciept |
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Your Email:
(name@server.com) required for reciept
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Your Mailing Address:
Stree, City, State, Zip Code and Country
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Your Phone:
(Country code and number: +1 555-555-5555) |
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Optional: J-Aircraft message board UserID:
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Optional: Note or comment |
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Print this page, place check or money order inside the folded page, affix postage and mail to: |
Pacific Wrecks Inc.
P. O. Box 859
Hyde Park, NY 12538-0859
USA |