The Gift Corporation 100 Main Street, Suite D Hempstead, NY  11550 516.483.3300 Fax: 516.483.3313 Email: admin@thegiftsociety.org I wish to join The Gift SocietyTM Funding Program. I promise to pay $40.00 to enter the Funding Program. I understand that my $40.00 will be returned to me when I receive $3,240.00. I promise to enroll at least three (3) people to the Funding Program. I promise to to comply with the terms and conditions of the Funding Program as set forth below:
Last Name	* required
First Name	* required
Middle Initial
Address 1	* required
Address 2
City	* required
State	* required
Zip Code	* required
Country (other than US)
Home Phone	* required
Cell Phone	* required
Email	* required
Sponsor (Person who referred you)	* required
Sponsor's City, State	* required
*PLEASE PRINT A HARD COPY OF YOUR COMPLETED APPLICATION. MAIL COMPLETED APPLICATION AND $40.00 TO ADDRESS ABOVE.
Terms and Conditions:   In PHASE 1, I will receive $3,240.00. It is my responsibility to send, via US Money Order: $540.00 to The Gift Society (for administrative fee). $1,000.00 to The Community Junior Golf Program (or subsequent Charitable Missions). $1,000.00 to Gift Society member/person designated by The Gift Society Administration. $200.00 to The Gift Society for five (5) other Charitable Missions (at $40.00 each). I keep $500.00 for myself ($40.00 for my initial fee and $460.00 for my personal expenses and income taxes). I understand that if any of the above conditions are NOT met, I will NOT be eligible for Phase 2. In PHASE 2, I will receive $81,000.00. It is my responsibility to send, via Bank Checks: $8,100.00 to The Gift Society (for administrative fee). $20,000.00 to loan to fund (5) Charitable Trusts (at $4,000.00 each). My return on the loan of $20,000.00 will be $25,000.00. I keep $52,900.00 for myself for personal expenses and taxes.
Signature:____________________________	Date of Signature__________________

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