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YES! I appreciate and support what VOR does for people with mental retardation. Here’s my contribution (please circle one):

            $1000        $500            $250             $100              $50             $25                   $ ______ Other

            Name: _____________________________________________________________________

            Street Address: _______________________________________________________________

            City: ________________________ State: ______  Zip: _______________________________

            Phone: ______________________________ Fax: ___________________________________

            E-Mail: ______________________________________________________________________

            A CHECK is enclosed made payable to VOR  OR  CHARGE  to my __VISA  __ MasterCard

            Card Number: _________________________________ Expires: ______________________

            Signature: ____________________________________ Total Amount to Charge: _________   EMAIL-206

            Return form to:

            VOR

            5005 Newport Drive, Suite 108

            Rolling Meadows, IL 60008

            847-253-6054 fax (for credit card donations)

VOR * 836 S. Arlington Heights Rd., #351 * Elk Grove Village, Illinois * 60007

877-399-4VOR ph. * 847-253-0675 fax * tamie327@hotmail.com