Mail-In Donation Form

EW1801

 

First Name:  

Last Name:  

Mailing Address:  

 

City, State, Zip:  

Email Address:  

Phone Number:  


Enclosed is my check (payable to Radio America) for:   $_____________

Please charge my credit card in the amount of:   $_____________

Credit Card #:  

Expiration Date: _______ / _______

 

Mail this completed form, along with your check or money order (if applicable) to:

Radio America
P.O. Box 96848
Washington, DC 20090-6848

 

Radio America is a division of the American Studies Center, a 501(c)(3) organization. Gifts are deductible as charitable contributions for Federal income tax purposes. Unless otherwise noted, no benefits were provided in connection with this contribution, which makes it 100% tax deductible.