Disability Rights Education & Defense Fund Donation Form

 

Please print this page and, when completed, mail it to:

 

DREDF
3075 Adeline Street, Suite 210
Berkeley, CA 94703.

 

I believe that individuals with disabilities have the right to an education, transportation, housing, and access to public services as well as the right to lead independent, dignified, and enjoyable lives. I want to make a difference to ensure that people with disabilities continue to have these rights.

 

Here is my tax-deductible gift to DREDF in the amount of $__________.

 

Name: _________________________________________________________

                  (As on credit card, if applicable)

Address:________________________________________________________

 

City: ________________________________ State: ____ Zip: _______________

 

Phone:__________________________Email: ______________________________

 

About your contribution:

 

____ My check payable to DREDF is enclosed.

 

_____ Please charge my:   MasterCard           Visa               American Express

 

Card No. ________________________________exp. date ___/___

 

Signature ______________________________________________

 

Gifts made in recognition:

 

_____ In Honor ____ Memory of ___________________________________________

 

Please send a gift notification to:

 

Name: _________________________________________________________

 

Address:________________________________________________________

 

City ________________________________ State ____ Zip _______________

 

THANK YOU !