I, the undersigned, support the Naregatsi Art institute (NAI) programs and projects,

and enclose my donation of $ ______________

Please send a tax-deductible receipt to:

Name ________________________________________________________

Address ______________________________________________________

City _________________________ State _________ Zip Code __________

Country  ______________________________________________________

TEL: (Home)____________________ (Office/cel.) _____________________

E-Mail ________________________________________________________

Signature ______________________________________________________