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I pledge a monthly sustaining contribution in the amount
of:
__ $100/month __ $50/mo __ $35/mo __ $25/mo __$20/mo __ $15/mo __ $10/mo
__ Other: _______/mo
I’ll make a one-time contribution of $ _________
Payment Method: __my check is enclosed
, payable to ILED
__ please charge my credit card: (preferred method - saves time, postage and trees)
__Visa __ MC Card #_________________________________Security code:_______
exp date _____/_____
Signature__________________________________________________ Today’s
Date _____________________
Name: ____________________________ Phone (_____)___________
Email ______________________________________________
Address:____________________________________________
City: ________________________State, Zip: ______________
Credit card billing address (if different from above):_________________________________________________
Contributions are tax-deductible. ILED is fiscally sponsored by the
Sonoma County Peace & Justice Center,
A 501 (c)3 non-profit. Please return to: ILED, 117 Morris St, Suite 220,
Sebastopol, CA 95472