Donation Form

Become a Member of the Endangered Language Fund by Mail

Yes, I support The Endangered Language Fund's efforts and wish to become a member. Please print out this form, then mail it to the address below.

I wish to contribute:

Under $100 — Friend of the Fund
$100 — Supporter
$250 — Sustainers Club
$500 — Words of the World Club
$1,000 — Archivist Club
$5,000 and up — Directors Circle
Amount Enclosed:

(Denotations are tax deductible - see below)

Please fill in your personal information:

Name:
E-mail Address:
Home Phone Number:
Work Phone Number:
Fax Number:
Mailing Address:
 
 

Please send this form and either
1. a check for the amount specified payable to the Endangered Language Fund, or
2. credit card information

Name as it appears on card:
Type of card (MC or Visa):
Card number:
Expiration date:

to:
The Endangered Language Fund
300 George St., Suite 900
New Haven, CT 06511