CASA ATABEX ACHÉ
THE HOUSE OF WOMYN'S POWER
"LA CASA DEL PODER DE LA MUJER"


        It's EASY to Make a Tax Deductible Donation to Casa Atabex Aché!  

  1. Print this page.  Explorer and Netscape users click your Printer Icon or click File-->Print.   
  2. Fill in the requested information. Please print clearly.
  3. Make your check or money order payable to: Casa Atabex Aché.  Mail the completed form and your donation to:

Casa Atabex Aché
471 East 140th Street
Garden Level
Bronx, NY 10454


NAME:_____________________________________________________________________________

ADDRESS:__________________________________________________________________________

CITY:_____________________________________  STATE: _________  ZIP:____________________

TELEPHONE #:___________________________________FAX#:______________________________

E-MAIL ADDRESS:____________________________________________________________________

DONATION:    [  ] $25     [  ] $50     [  ] $100     [  ] $250    [  ] $500     [  ] OTHER $_________________


Your donation makes our wishes a reality. 

You Are Love!

T H A N K   Y O U   F O R   S U P P O R T I N G   C A S A   A T A B E X   A C H É !


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