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Pledge Form Rango Appreciation Partner Appreciation  
Support NASTAD: PLEDGE FORM



WHERE TO SEND YOUR DONATION
Please make your check payable to NASTAD and mail along with this form to:
 
NASTAD
Attention: Rango Leadership Fund
444 North Capitol Street, NW, Suite 339
Washington, DC 20036

Once your donation is received, you will receive a letter that may be used for tax purposes, indicating the amount of your donation. NASTAD is a 501(3)c charitable, non-profit organization and your contribution is fully tax-deductible. Your name will appear on our website unless otherwise instructed. NASTAD will not release, provide, or sell identifying information about contributors to anyone except as required by law.

Please Give Us Your Information
Please complete the following information, enclose your check made payable to NASTAD, and mail to the address below. NASTAD cannot accept credit card donations at this time.

Check this box if you do not want your name to appear on our website.

Name:  
Address Line 1:  
                                                  
Address Line 2:
                                                
Amount:                 $  (10.00)
City:  
State:  
Zip:  
                                                   
Email:  
                                               
Phone:
     

Thank you

On behalf of the Rango Leadership Fund, NASTAD thanks you for your kind and generous support.
     

Copyright 2000-2007 - National Alliance of State and Territorial AIDS Directors
444 North Capitol Street, NW • Suite 339 • Washington D.C. 20001 • (202) 434-8090 • NASTAD@NASTAD.org