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Yes! I wish to Support Squaw Valley Institute's Mission to
bring World Class Presentations to this Region!
Enclosed is my tax-deductible donation for Membership at
the following level:
[ ] Sustaining: $50 -$99
[ ] Bronze: $100-$249
[ ] Silver: $250-$499
[ ] Gold: $500-$999
[ ] Platinum: $1,000 and above
[ ] Event Sponsor: $500 (please contact us directly for details)
[ ] Business Sponsor: $2500 (please contact us directly for details)

[ ] Check Enclosed
Credit Card No. __ __ __ __
__ __ __ __
__ __ __ __
__ __ __ __
Amount: $____________________
Exp. Date: __ __ / __ __
Name (as appears on credit card): _________________________________________
Address: ___________________________________
City: ___________________________________ State: _____ Zip:
_______________
E-Mail: ___________________________________________
[ ] I give permission to be listed as a Member of Squaw Valley
Institute (or)
[ ] I prefer to remain anonymous
THANK YOU FOR YOUR SUPPORT!!!
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