Donation
Form
Rhythms
for Life
Rex Golston
608 Ski Village Drive
Mount Shasta, Ca
96067
Telephone cell 530-859-0130
rex@playful.com
How Would You Like to Pay?
- By Credit Card: use
paypal (below)
- Or Email Payment at
Paypal.com to ("rex@playful.com")
If you would like to sponsor some youth-at-risk to participate in a Rhythms for Life Playshop, please know that they will appreciate it very much
Address_________________________________________________________
City___________________________State__________________Zip________
Donation_________________________
Special Instructions:___________________________________________