T  A  M A  R  I  N  D
C O L L E C T O R S  C L U B
$550

Please print this form and return it with your check,
made payable to: The Tamarind Foundation,

to Tamarind Institute, 108 Cornell Drive SE, Albuquerque, NM 87106.
We also accept VISA or MasterCard.


Name__________________________________________________________________
Address________________________________________________________________
City_____________________________________ State______ Zip ___________
Please give address that print will be shipped to (We use UPS Ground, No PO Boxes please):
Address________________________________________________________________
City_____________________________________ State______ Zip ___________
Phone Number___________________________________________________________
E-mail address___________________________________________________________
VISA or MC number___________________________________Exp date____________
Cardholder's signature______________________________________________________
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THANK YOU!