Los Angeles, CA 90010 USA

Tel. 213.232.1660

aryanafproductions@yahoo.com

Project name: “LONGING FOR THE SOUL, A QUEST FOR RUMI”

Please note that your credit card statement will reflect a donation to the International Documentary Association on behalf of this project. If your donation exceeds $200, you will be mailed a receipt.

CONTACT INFORMATION

Name ______________________________________________________

Address.___________________________________________________

City ______________________________________________________

State _______Zip __________________________________________

Telephone__________________________________________________

Fax________________________________________________________

Email______________________________________________________

DONATION INFORMATION
Please make payment to: International Documentary Association
Credit Card Type: Visa or MasterCard (We do not accept American Express or Discover)

Credit Card No.___________________________

Exp. Date_________

Amount of Donation $______________________

Signature_______________________________

Project name: #2979 “LONGING FOR THE SOUL, A QUEST FOR RUMI”