I Want to Donate to the We The People Foundation!

ALL INFORMATION IS HELD STRICTLY CONFIDENTIAL

FIRST Name	 	

LAST Name		

Street 1		

Street 2		

City

State	
ZIP	
County	
Phone #	
E-MAIL	

	E-mail this form to:	bob@GiveMeLiberty.org

MAIL this form to:   	We The People Foundation       Phone:  518-656-3578
                 		2458 Ridge Road, Queensbury, NY  12804			

_____ I’m enclosing a donation in the amount of  $___________ Check Cash  $-order.

_____ I’d like to donate using a credit card:   VISA   MC   AMEX   DISCOVER

Card # ____________________________________________   Exp. Date  _________

Security Code _________ (If  MC or VISA, last 3 numbers on BACK of card, If AMEX, 4 numbers on front of card)

Amount $_________ Continue to donate each month until I tell you to stop:  YES   NO

Signed:  ______________________________________ Today is:  _____ - _____ - 2009

Thank You!  All donations to the WTP Foundation are fully tax-deductible.