Donate By Check
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Please print out this page or download the PDF form. Fill in the appropriate blanks and mail to:
Blacksmith Institute
Elisa Dumitrescu
Administrator
Two Park Avenue, 29th Floor
New York, NY 10016
or fax to our office: 212-779-8044
 Payment By Check
Enclosed is my gift of: |
$50 __________
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$100 __________
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$250 __________
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$500 __________ |
$1000 __________ |
Other $_________ |
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Total
donation |
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Name |
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Street
Address |
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City |
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State |
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ZipCode |
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Telephone |
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E-mail |
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Your credit card information must exactly
match your billing information. |
* All contributions are tax-deductible as allowable by law. Blacksmith Institute is a registered 501 (c) 3 and a recognition letter/receipt will be sent following all contributions.
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