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1) PICK A SINGLE LOCATION FOR TREE-PLANTING AND/OR STOVES:

STOVE LOCATIONS:

2) PRINT & FILL-OUT THIS FORM:

Yes, I want to contribute funds to have trees planted in (One Location Per Check) __________________________ at US $1 per tree.

Yes, I want to contribute funds to have_________(select quantity) stoves given to one or more families in
(One Location Per Check)__________________at US$90 per stove.

I have enclosed a check made payable to Plant-It 2020 for the amount of (CIRCLE ONE) $10 $20 $35 $50 $75 $90 $100 $150 $180 $200 $250 $270 $360 $450 $500 Other

Name: _________________________________________________

Group: _________________________________________________

Address: _______________________________________________

City: _________________________ State: _________ Zip: ________

Country: _________________

3) MAIL WITH YOUR CONTRIBUTION TO:

PLANT-IT 2020 PMB 310 •
9457 S. University Boulevard, PMB 310
Highlands Ranch, CO 80126 •
USA

Email: plantit@mac.com