Proudly show your Pro-Life support with this limited-edition license plate from Arkansas Right to Life. At only $20.00 plus $2.50 for shipping and handling, this plate is a great gift for that special Pro-Life person this holiday season. There's only a limited number so order yours today!!

For a printable Adobe PDF version of this form, click here.
Requires Adobe Acrobat Reader 3.0 or later.

Checks made payable to: Arkansas Right to Life Educational Trust Fund
$18 of your donation is tax deductible.

NAME________________________________________________________________________________

ADDRESS____________________________________________________________________________

CITY__________________________________________   STATE___________   ZIP_________________

QUANTITY_______    x    $22.50    =    ___________

Please enclose your donation with this form and mail to:
Arkansas Right to Life      P.O. Box 1697      Little Rock, AR 72203

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