We appreciate your donation. Please make out your check, print and fill this out, and mail both to:

Ojai FLOW, Inc.
P. O. Box 3277
Ventura, CA 93006-3277

Donation amount $ ________________________

Your name _____________________________________________________________

Your Address ___________________________________________________________

Your Signature __________________________________________________________


Employer* _____________________________________________________________

Employer Address*_______________________________________________________________

*If self-employed, give the name of the business

*If retired, just say so.

We will add your name to our Financial Donors list unless we hear otherwise.