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One Goal Inc.PATRON APPLICATION FORM
          


                                                   PATRON APPLICATION FORM


FOR AWARD GUIDELINES, CLICK HERE

NOTE: 
FINISH COMPLETING FORM AND THEN CLICK THE "SUBMIT" BUTTON
AFTER THE COMPLETION OF THE DONATION, YOU
WILL BE E-MAILED THE RECIPE  OR EDUCATION GUIDE YOU CHOOSE WITHIN 2-5 DAYS.

    
 
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Daytime Phone:
Evening Phone:
Email:
 PATRON LEVEL:ETERNAL
 (REGULAR DONOR THROUGH THE YEARS TO COME)
 LIFETIME
(REGULAR DONOR THROUGH LIFE)
 ANNUAL
(REGULAR DONOR YEARLY)
 GENERAL
(NOT ONE OF THE ABOVE)
:
TERMS OF PAYMENTANNUALLY
 MONTHLY
 QUARTERLY
 ONE TIME DONATION
AMOUNT OF DONATION:
RECIPE/RECIPES NEEDED (CHOOSE
FROM "RECIPE' PAGE)
EDUCATION GUIDE NEEDED FOR CREATING
"YOUR IDEAL LIFE"
 FOR ENTRY TO THE "IDEAL LIFE aWARDS"
 
METHOD OF PAYMENT:CHECK
(MAIL TO: 1715-C E. GLENOAKS BLVD.
GLENDALE, CA 91206)
 CREDIT CARD
( E-MAIL YOUR CREDIT CARD NUMBER AND EXPIRY DATE TO: enlightenment2121@yahoo.com or just click the "DONATE" BUTTON AT THE TOP OF THIS PAGE FOR PAYPAL PAYMENTS) 
 
NOTE: PENDING TAX EXEMPT STATUS
 
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