Mail Check To: |
VDARE Foundation P.O. Box 1195 Washington CT 06793 |
NAME:
____________________________________________
ADDRESS: ____________________________________________
____________________________________________
CITY: ____________________________________________
STATE: ____________________________________________
ZIP:
____________________________________________
EMAIL: ____________________________________________
PHONE: ____________________________________________
AMOUNT: ___ $50
___ $100
___ $500
___ $1000
___ Other: ___________