Eternal Life Radio Bringing Catholic Radio to Massachusetts www.eternalliferadio.org Order Form Item # Item Name Quantity Donation ________ ____________________________________________ _______ ________ ________ ____________________________________________ _______ ________ ________ ____________________________________________ _______ ________ ________ ____________________________________________ _______ ________ ________ ____________________________________________ _______ ________ ________ ____________________________________________ _______ ________ ________ ____________________________________________ _______ ________ Total Donation: ________ Shipping Information: Name: _____________________________________________ Street: _____________________________________________ _____________________________________________ City: _____________________________________________ State: _____________________________________________ Phone: _____________________________________________ Email: _____________________________________________ Mail this form with your check or money order to: Eternal Life Radio 43 Riverside Ave., U. #508 Medford, MA 02155 Thank you for supporting Eternal Life Radio! Please tell your friends about us. Donations are tax 100% deductible.