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Donating by Mail
With a Check or Credit Card
1. Print out this page and fill out the information requested (or simply mail a check to the address below if you don't have a printer)
2. Mail it to:
NumbersUSA
1601 North Kent Street
Suite 1100
Arlington, VA 22209-2105
A. Gift Amount
Gift in US Dollars ________
I am donating by (circle one):
Enclosed check Credit Card
______________ _____________ __________________
First Name Middle Initial Last Name
_____________________________________________________________
Address Line 1
_____________________________________________________________
Address Line 2
______________________ _____ ___________
City State ZIP
______________________ ______________________
E-mail Address Phone
C. Credit Card Information
___________________ ____ / ____
Credit Card Number Expiration Date
Name on Card: _________________ ______________ __________________
First Name Middle Initial Last Name |
