Please complete the form below, print it, and mail it to us with your check, money order, or credit card information.
We are very grateful for your help.
Mailing address:
Terry Pell
President
The Center for Individual Rights
1100 Connecticut Ave, NW
Suite 625
Washington, DC 20036
First Name: |
Last Name: |
E-mail: |
Phone: |
Fax: |
Address: |
City: |
State: |
Zip Code: |
I would like to donate:
$50 $100 $250 $1000
Other:
My tax-deductible contribution will be paid via:
Check Money order Credit card
|