India Literacy Project: Support ILP
Please print this form, fill it out, and mail it to:
YES! I am donating:
____$100 ____$50 ____$25 ____$15 Other $________ ____ Please check here if you have previously donated to ILP. NAME________________________________________________________________ BILLING ADDRESS_____________________________________________________ CITY________________________________ STATE/PROVINCE_________________ ZIP/POST CODE_______________ COUNTRY_______________________________ PHONE* _______________________________
[ ] Check enclosed CREDIT CARD NO. ______________________________ EXPIRES_______________ SIGNATURE: ______________________________________________ Source: WEB
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