Published by Guild for the Blind Resources - Adaptive Technology Overview
http://www.guildfortheblind.org/new/resources_adaptiveTech.asp
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Donation Form

Thank you for your interest in supporting the Guild for the Blind. You can make your donation by printing this form and sending it in with your check or credit card information to:

    Cheryl Megurdichinan
    Director of Development
    Guild for the Blind
    65 E. Wacker Place, Suite 1010
    Chicago, IL 60601

I want to help people with vision loss live independent, active live. Enclosed is my tax-deductible contribution of:

    $25.00
    $50.00
    $100.00
    $250.00
    $500.00
    Other

Enclosed is my check made payable to the Guild for the Blind

Please Charge My Credit Card using the information provided below:

    Credit Card:
    Card Number: Expiration Date:

This gift is from:
Name:

Address:

City, State, Zip:

Phone:

E-Mail:

To make a donation in honor or memory of a loved one, please fill out the remainder of this form.

Gift Made in Memory Of
Gift Made in Honor Of

Name:

Occasion:

If you would like the Guild to send an acknowledgement card announcing your thoughtful gift to the honoree or a family member, please fill out the following:

Name:

Address:

City, State, Zip:

From: (Name as you would like it to appear on the card)

When you make a tribute gift, the person or family you designate will receive an acknowledgement card in your name, without the gift amount listed.

 

© 2011, Guild for the Blind. All rights reserved.
65 E. Wacker Place, Suite 1010, Chicago, IL 60601, tel. 312 236 8569, fax. 312 236 8128
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