AKMENA WINDMILL  
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DONATION/PLEDGE FORM

 

Enterprise "Akmenos malunas” (“Akmena windmill”)

AKMENA WINDMILL PROJECT FUND DRIVE.          Donations to  restoration project

Print this pledge sheet and Mail with donation.

Donator’s :

 
Name, Full Name
 
Address: Street, city, Province, Postal code, Country
     
Email Phone Fax

                                 Donations @ pledge sheet
Enclosed donation Amount

                      Amount

Pledged by

June 2001

 

June 2001
December 2001
June 2002
December 2002
 
 
 
 

Total donation

  
Donors signature  

Date

  

Please make your check payable to The Akmenos Malunas enterprise

And mail this form along with your donation/pledge to:

Akmenos malunas enterprise

Ozo 17-48, Vilnius 2056, Lithuania

Or send your money order to

Akmenos Malunas enterprise, code 5422613

Lietuvos zemes ukio bankas, Anyksciu skyrius, kodas 260101431

(Lithuanian agriculture bank, Anyksciai department, code 260101431)

Account Number 1468362

And this form, by registered mail, to

Akmenos malunas enterprise

Ozo 17-48, Vilnius 2056, Lithuania
 

If You or Your Company have decided to render financial assistance to restoration of Akmena windmill, we'l invite you for a rest

    Constructed by Rimgaudas Zirgulevicius                           2004 02 16