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GIVE BY FAX |
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If you donate to the non-profit American Eagle Foundation by phone
or fax, we will send you a thank-you letter acknowledging your contribution and the amount given.
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| We
accept VISA, MASTERCARD, and DISCOVER credit cards. |
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| Yes, I would like
to make a donation to the non-profit American Eagle Foundation as designated
below. | |
| Card Type (VISA / MasterCard / Discover): | _______________________________ |
| Expiration Date: | _____________________ |
| Name As Appears On Credit Card: | ______________________________ |
| Credit Card Number: | ______________________________ |
| Total Donation Amount: | ______________________________ |
| Donor Signature: | ________________________________________ |
| Donor Full Name (printed): | ________________________________________ |
| Billing Address: | ______________________________ |
| City: | ______________________________ |
| State: | ____________________ |
| Zip: | ____________________ |
| Phone (include area code): | ______________________________ |
| Email address: | ______________________________ |
| Fax number: | ______________________________ |
| Select specific
program(s) you wish to donate to (fill in one or both lines below) and indicate
the dollar amount you want to give to one or both options: |
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| Donation amount to general operations: | ____________________ |
| Donation amount to other specific programs: | ____________________ |
| Specify type of other program: | ______________________________ |
Note: We will bill the Total Donation Amount indicated above to your credit card account if your donation is made by credit card. INSTRUCTIONS TO SUBMIT YOUR DONATION:
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