American Foundation of Acupuncture & Oriental Medicine
P.O. Box 630308 • Houston, TX 77263 Toll free: 877-865-3037
would like to pledge my support for the foundation.
$50
$100
$500
$1000
Other
Please send an acknowledgement to:
Name:
Address:
City:
State:
Zip:
Telephone:
E-mail:
I would like my funds to be allocated to:
Research
Scholarships
Community Service
Any
