___________Mailing a Check
Enclosed
is my check for $ ___________ made payable to Hearing For
Children.
___________Mailing
or Faxing a Credit Card Donation
I wish to charge $ ___________ to my (circle
one): Master
Card Visa Discover
Card
number: __________________________________________________
Signed:
__________________________________________________
Please
print your name: ______________________________________
Address: _________________________________________________
_________________________________________________
City:
______________________ State: _______
Zip Code: _________
(Please
use the credit card billing address)
Email:
__________________________________________________
Telephone: _______________________________________________
Contributions
to Hearing For Children are deductible
for United States federal income tax purposes
We will send you a receipt as soon as
possible...
EIN 33-0529990
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