Contribution Form

NEWW
Contribution Form
NAME
ADDRESS
CITY
STATE
ZIP
EMAIL
TELEPHONE
FAX
DONATION
AMOUNT
Enclosed is my tax-deductible gift payable to the Network of
East-West Women
$____________________________
€____________________________
zl____________________________
Would you like to receive receipt for your contribution at the above
address?
____ YES SEND A RECEIPT.
____ NO, RECEIPT NOT NEEDED.
____Please send me information about becoming a sustaining member.
____Please send me information on making a bequest, gift of shares or other
form of giving.
____ Please add me to your mailing list.
If desired, indicate the Network’s project you would like your contribution
to support:
Please mail this form with your contribution to the address below.
Please make checks payable to the Stowarzyszenie Wspó pracy Kobiet, Network
of East-West Women-Polska.
Address:
Stowarzyszenie Wspó pracy Kobiet, Network of East-West Women-Polska.
80-239 Gdansk
Ul. Miszewskiego 17 p. 100
POLAND
Thank you for your support.
Donations to the Network of East-West women are tax deductible for income
tax purposes
The Network of East West Women is a 501(c)3 organization.