Donation Form
DBLNJ Donation Form
(Please Print)
Name: _______________________________________________________________________
Organization/Business Name: __________________________________________________
Address: _____________________________________________________________________
City, State, Zip Code: __________________________________________________________
Telephone Number: ___________________________________________________________
Fax Number: _________________________________________________________________
E-mail Address: ______________________________________________________________
Amount Enclosed: $___________._______ Date Sent:______________
Comments: ___________________________________________________________________
Mail this upper section with your check or money order to:
DBLNJ -38 Essie Drive - Matawan, New Jersey 07747-2706.
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Please retain the section below for your records. Note: Deaf-Blind League of New Jersey is a non-profit organization; your donations are tax deductible. We will gladly provide you with a receipt for your tax records. Asking for Dawn Brady at dvsbrady@aol.com.
Mailed donation form to: DBLNJ -38 Essie Drive - Matawan, New Jersey 07747-2706
Web: http://dblnj.tripod.com/
Print a new form at: http://dblnj.tripod.com/donate.htm
Amount Donated: $___________._______ Check Number: ___________
Date Sent:______________
Thank you for your donation.
