One Daily Serving Pledge Form

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How are you contributing to this challenge to help end hunger?

First Names of Contributors (Separate by comma) *

Last Name *

My/Our complete address is: *

(Include state and zip code)

My/Our email is:

This is the easiest way to contact you. If you have an email address that you check regularly, please list it. Otherwise, leave this blank and communication will come through the mail.

How are you participating in this project? *

Mark all that apply. (Details about the place and time of the packaging event and celebration will come later. It will be a Saturday event.)

I am praying regularly for the project.

I am mailing a check/money order today!

I will plan to participate in the packaging event to prepare Numana meals to be shipped overseas in the Spring of 2013 in Salina, KS.

Required

I am mailing a check/money order for the following amount:

Make checks payable to: Numana, Inc. Mail to: One Daily Serving, P.O. Box 3011, Salina, KS 67402-3011

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