Support NAISA To make a contribution towards supporting NAISA you must complete this on-line form and click on the "Submit" button located at the bottom. All of your private information will be encrypted and securely sent to us. This is not an automatic immediate purchase Processing of this purchase request is done manually by NAISA staff Part One - Tell Us About Yourself (all fields required) Name Address Line 1 Address Line 2 Address Line 3 City Province/State Postal Code Country e-mail Phone number Part Two - Select your Contribution Amount (CDN) Amount of Contribution $50.0 X Part Three - Payment information Total payable: How do you wish to pay? Cheque or Money Order (payable to: New Adventures in Sound Art) Mail to: New Adventures in Sound Art P.O. Box 335 - 313 Highway 124 South River, ON P0A 1X0 VISA MasterCard Name on Card Card Number Security Code Expiry date / Comodo SSL (If submission is successful a printable receipt will be presented to you)) Any questions can be directed to Nadene Theriault-Copeland at 705-386-0880 or email@example.com.