Bridge to the
Future, Inc. Contribution Form
I/we are
pleased to contribute to Bridge to the Future’s Annual
Operating Fund:
Amount $________
Club________________
_____ I have
enclosed a check/money order.
_____ I wish to
make payments of $________ Please bill me.
_____monthly
_____quarterly_____semi-annually
_____ Please bill
my credit card Mastercard/Visa. (circle one)
Card
#_______________________Exp. Date_______Code#____
Signature
______________________________________
_____ Please have
someone contact me.
_____
I would like to receive periodic updates on your
activities by email.
Email
address:___________________________________
Name on card:
Title:
Business/Organization:
Billing Address:
City:________________________State:______Zip:________
Phone:
Alt.
Phone:
Fax:
Please
return to:
Bridge
to the Future, Inc.
P.O.
Box 742041
Los Angeles, CA 90004
email:
bridge
http://www.ispgroupinc.com/bridge_to_the_future.htm
We are a 501c3
classified organization,
your contribution is
fully tax deductible.