Please print this form and use the U.S. Postal Service to return this contribution certificate to Gun Owners Alliance. Our address can be found at the bottom of this form.

Gun Owners Alliance Contribution Certificate



__ Count me in! Here is my contribution to help preserve my right to keep and bear arms and to support Gun Owners Alliance with their daily expenses. I understand my contribution helps this work to destroy gun control.

__ Apply _____% of this contribution to R. Mermelstein, editor of "Ask the Rabbi"

__ $20 __ $35 __ $50 __ $100 __ $250 __ Other_______

I agree to contribute the balance of $_____payments over_____months.

Please make check payable to Gun Owners Alliance. Thank you.

____________________________________________________________________________________
Name (please print)
____________________________________________________________________________________
Address
____________________________________________________________________________________
City / State / Zip
____________________________________________________________________________________
Telephone Number
____________________________________________________________________________________
E-mail address (supply only if you are not on the E-Mail Alert Network and wish to be added)
____________________________________________________________________________________

PLEASE RETURN THIS CONTRIBUTION CERTIFICATE TO:

Gun Owners Alliance
P.O. Box 16441
Colorado Springs, CO
80935-6441