Uddami Donation Form                                       

I wish to donate the following amount to Uddami:
(all donations are tax deductible for U.S. citizens)

$50

$100

$250

$1000

Other: _______

Please make your checks out to Uddami.
Print out and send this completed form to:	Uddami c/o Julia Lopez 7725 Bodega Ave. #19 Sebastopol, CA 95472 USA

 

	Name:	____________________________
	Address:	____________________________ ____________________________
	City:	____________________________
	State:	____________________________
	Postal Code:	____________________________
	Country:	____________________________
	Email:	____________________________

Thank You for Your Donation!