I want to help Radio Lumiere

To help with making a contribution to Radio Tele Lumiere you can print out this form then fill it out and mail it along with your contribution (check or money order) made to RADIO LUMIERE.

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Name _____________________________________________________________________

Address ___________________________________________________________________

City _________________________ State  _________________ Zip __________________

E-Mail Address __________________________________________

In the amount of $____________________

My Gift is a: Monthly ________  Yearly ____________ One Time_________ one

Please use this  contribution for:

Where Needed

Radio Equipment

Television Equipment

Employee Salary

Other_____________________________________________________________________

Send contributions to:

RADIO TELE LUMIERE
P.O Box 15665, MEBSH
West Palm Bch Fl, 33416

Comments, requests or names to add to the mailing list:
___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________
Thank You for your Love GIFT to Radio Tele Lumiere . Just as a reminder  our mailing list is confidential, we don't loan, sell or share! it to any other organizations or companies