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ASIAN ART COORDINATING COUNCIL

CONTRIBUTOR INFORMATION

NAME

ADDRESS

CITY

STATE

COUNTRY

ZIP CODE

HOME PHONE

DAYTIME PHONE

FAX

E-MAIL

CASH DONATION $

Please send me a donation acknowledgment letter which I may use as documentation for tax purposes.

	`Please print this form and send it with your check to:`
	`Asian Art Coordinating Council`
	`255 Detroit St. #300`
	`Denver, Co. 80206`
	`USA`
	`THANK YOU FOR YOUR SUPPORT`

NAME
ADDRESS

CITY
STATE
COUNTRY
ZIP CODE
HOME PHONE
DAYTIME PHONE
FAX
E-MAIL
CASH DONATION	$
	Please send me a donation acknowledgment letter which I may use as documentation for tax purposes.