I would like to donate to UNH Shotokan Karate Club:

(check one of the following)

___ $25    ___ $50    ___ $100    ___ $500    other amount $_______

Name __________________________________________________________

Address ________________________________________________________

City _________________________ State __________ Zip _______________

Phone __________________________________________________________

Email __________________________________________________________

(check one)

___ Parent    ___ Alumni ( ______ year)    ___ Friend

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UNH Shotokan Karate

and mail to:

UNH Karate Club
Whittemore Center
128 Main Street
Durham, New Hampshire 03824-1950

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