Please make me a sustaining member of the Miracle Players' non-profit organization. I understand that:

• I am making a one-time financial contribution;

• Membership expires at the end of the year;

• My membership number will be sent to me at the email specified below;
      

First and last name:

Address line 1:

Address line 2:

Address line 3:

Address line 4:

Email:

Comments:

Once you have submitted this form you will be directed to our sponsor's website (www.centropilota.it) where you can make your donation on a secured server. Please remember that in the field "This payment is for:", you should specify "Miracle Players Membership".