-- Printable Donation Record --
Please include a copy with your check and keep a copy for your records.
 
LifeSense Institute
Imagine  *  Facilitate  *  Share		  

Date:  ___________________________

Donation Amount: $____________

Please make check payable to 
LifeSense Institute and mail to: 

          Robert Bornn 
          LifeSense Institute
          P.O. Box 2443
          Vashon Island, WA  98070
Please mail my receipt to:

Name    ________________________________________
Address ________________________________________ 

Phone  ( __ ) ___ - _______ 
Please put me on your e-mail list ________________


 
 
LifeSense Institute is a Washington State nonprofit corporation (UBI Number 602-601-557; APPID: 532748).

LifeSense Insitute is registered for solicitations under the Washington State Charitable Solicitations Act, RCW 19.09.
(Registration Number: 22699).

LifeSense Institute is not currently a tax-exempt organization under IRC 501(c)(3).

If you are interested in underwriting LifeSense Institute, but require tax-exemption under IRC 501(c)(3), 
please contact us for information.

LifeSense Institute
P.O. Box 2443 • Vashon Island, WA 98070 • (206) 463-4284 
robert@buildingcircles.org • www.buildingcircles.org