To Make a Donation

Printer Friendly Donation Form
Your Name: ___________________________________________
Organization / Business Name:
_____________________________________________________

Address: _____________________________________________

State: _______________________________Zip Code: ________

Phone Number: ______________________________

FAX Number: ______________________________

Email address: ______________________________

Amount Enclosed: $___________.____ Date Sent: ____________

Notes / Requests: ________________________________________________

Mail this upper section with your check or money order to:
DBLNJ -38 Essie Drive - Matawan, NJ 07747-2706.

********************************************************************************************

Please Retain The Section Below for your records.
Note: Deaf-Blind League of NJ is a Non-Profit organization; your
donations are tax deductible. We will gladly provide you with a receipt for your
tax records. Asking for Dawn Brady at dvsbrady@aol.com

Mailed donation form to:
DBLNJ -38 Essie Drive - Matawan, NJ 07747-2706
Web: http://dblnj.tripod.com/
Print a new form at: http://dblnj.tripod.com/donate.htm
Amount Donated: $___________.____ Check # ________
Date Sent / Mailed: ________________

Thank you for your donation.