India Literacy Project: Support ILP's Tsunami Relief Efforts

Please print this form, fill it out, and mail it to:

India Literacy Project
P.O. Box 361143
Milpitas, CA 95035-9998

YES!
I want to support ILP's Tsunami Relief efforts

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* _______________________________
*Should we have problems or questions in processing your donation.

[  ] Check enclosed.
[  ] Please charge my:   ____MasterCard  ____VISA  ____AMEX  ____DISC

CREDIT CARD NO. ______________________________ EXPIRES_______________

SIGNATURE: ______________________________________________

Source: WEB FORM: TSUNAMI RELIEF FUND

India Literacy Project

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