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Print this page and send the form with payment to:
CAC
P.O. Box 12464
Albuquerque, NM 87195-2464

Name ___________________________________________________________

Address _________________________________________________________

City ____________________________________________________________

State ___________________ Zip _________ Country _____________________

Phone _______________________________ Email_______________________

____I would like to receive a year's worth (4 editions)of Radical Grace.
       Enclosed is my contribution of __$25___

____I would like to send Radical Grace as a gift to the person listed above.
Enclosed is my payment of $25 for one year's worth (4 editions) of Radical Grace.
My name is (for acknowledgement purposes)_____________________________

Total Amount Enclosed: _________________________________________________

Checks payable to CAC

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Credit Card #: __ __ __ __/__ __ __ __/__ __ __ __/__ __ __ __
Exp. Date __ __ / __ __

Please include billing name and address of card holder if different than above.