Latin American Youth Center Donation Form
Gracias for your support!
Directions
1. Fill out this form.
2. Click the "Print" button on your web browser or go to "File" and then select "Print".
3. Send your printed form and contribution to the following address:
Latin American Youth Center
c/o Linn Shapiro
1419 Columbia Road, NW
Washington, DC 20009
Your contributions are tax-deductible to the full extent of the law. Please make checks payable to Latin American Youth Center.
Donor Information
|
Name:
|
|
|
Address:
|
|
|
City:
|
|
|
State:
|
|
|
Zip Code:
|
|
|
Phone:
|
|
|
Email:
|
|
|
Organization:
|
|
| Donation Amount: | |
| $35 | $250 | $2,500 | |
| $50 | $500 | $5,000 | |
| $100 | $1,000 | $10,000 | |
|
Other:
|
|||
