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

The Endangered Language Fund is a non-profit organization with a U. S. Federal government 501(c)3 classification. This entitles donors to deduct their contributions to the Fund from their gross income on their U. S. Federal income tax form to the full extent allowable by law.