Please print and complete this form and mail it to:

LHEF, Inc.
484 14th Street
Brooklyn, New York 11215


(    ) Yes, I want to hold a fundraising event to help the Lesbian Herstory Archives. Please send the Party Packet to:

Name: _______________________

Address: _______________________

_______________________________

City: ___________________________

State: _________    Zip: ____________

E-Mail Address: ______________________

Telephone Number: ___________________



(    ) I am sorry that I cannot hold a fundraising event but I want to make a contribution towards the future of the Lesbian Herstory Archives with my enclosed donation. (Please print this form and send it with your donation).

Name: _______________________

Address: _______________________

_______________________________

City: ___________________________

State: _________    Zip: ____________

E-Mail Address: ______________________


PLEASE INDICATE:

Amount of Donation: $_________

Optional:

Donation is in honor or memory of:

_____________________

Please check one of the following to indicate the form of the donation:

_____   check   _____   money order   _____   cash   _____   credit card  

Please note that the only credit cards we accept are VISA and Mastercard.

Please make checks payable to LHEF, Inc. 

If you'd prefer to donate online using a credit or debit card, please go to our Online Donation Form.


For Credit Card Donations:
Please note that your donation will appear as a payment to "LHEF, Inc." on your credit card statement.

Type of Card (check one):  _____   VISA   _____   Mastercard

Name on Credit Card: _____________________

Billing Address: __________________________

______________________________________

Phone Number: ____________________

Today's Date: ______________

Account No.: __________________________

Exp. Date: _________

Amount to be deducted: $_________

Signature: _________________________





LHEF, Inc. is a non-profit organization. Your donation is tax-deductible.

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