ORDER FORM FOR CREDIT CARD ORDERS PLEASE FAX: (831)-622-8412 or Call: (1-800-277-4732) in California (voice) Outside of California please call 831 622-8410 (voice)   Please Print Clearly Ship To: Name: Email Address: Address: City:  State:           Zip:  Telephone: Fax: CREDIT CARD:               VISA           MASTERCARD CREDIT CARD EXPIRATION DATE: IF YOU ARE DONATING BY CHECK PLEASE MAKE IT PAYABLE TO "ASPIRE". QTY. ITEM DESCRIPTION DONATION EACH Select donation Amount $15 $18 $20 $25 $40 $45 $50 $85 $150 Select donation Amount $15 $18 $20 $25 $40 $45 $50 $85 $150 Select donation Amount $15 $18 $20 $25 $40 $45 $50 $85 $150 Select donation Amount $15 $18 $20 $25 $40 $45 $50 $85 $150 Select donation Amount $15 $18 $20 $25 $40 $45 $50 $85 $150 Select donation Amount $15 $18 $20 $25 $40 $45 $50 $85 $150 Select donation Amount $15 $18 $20 $25 $40 $45 $50 $85 $150 TOTAL DONATION ASPIRE P.O. BOX 223779 Carmel, CA 93923-3779 (831) 800 - 277 - 4732       Fax: (831) 622 - 8412 http://www.aspire.org