Donate
Now
If you wish to make a tax-deductible donation,
please fill out this form, print it, and fax it to 609-520-7996.
Or call 866-RFBD-585 (866-732-3585).
Contact Information
* E-Mail
Address
* Title
Select One
Mr.
Mrs.
Ms.
Dr.
* First
Name
MI
* Last
Name
* Address,
Line 1
Address, Line 2
* City
* State
Choose a State
Outside US / Canada
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northern Mariana Is
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Province du Quebec
Puerto Rico
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
* ZIP/Postal
Code
Country
* Daytime
Phone
Evening Phone
Preferred method of
contact
E-mail
Phone
Please do not contact me
My Gift
* I wish to make a tax deductible contribution in the amount of:
$50
$100
$250
$500
Other
U.S. Dollars ($5 minimum)
Yes, my company will match my gift.
I have contacted my employer and/or will be sending a completed
matching gift form to: Recording for the Blind & Dyslexic
(RFB&D) ATTN: Michele Maw - Financial Development,
20 Roszel Road, Princeton, NJ 08540.
*
I wish to designate my gift for
Nationwide Programming
Local Programming
Select
a nationwide location
Select a Nationwide Location
Arizona
The Berkshires,
MA
Boston, MA
Connecticut
Denver, CO
Florida
Georgia
Illinois
Inland Empire/Orange
County, CA
Kentucky
Los Angeles, CA
Michigan
New Jersey
New York
Northern California
North Carolina
Philadelphia,
PA
Santa Barbara,
CA
South Carolina
South Central States (TX, AR, OK)
Tennessee
Virginia
Washington DC
West Virginia
50% Nationwide and 50% Local Programming
Select
a nationwide location
Select a Nationwide Location
Arizona
The Berkshires,
MA
Boston, MA
Connecticut
Denver, CO
Florida
Georgia
Illinois
Inland Empire/Orange
County, CA
Kentucky
Los Angeles, CA
Michigan
New Jersey
New York
Northern California
North Carolina
Philadelphia,
PA
Santa Barbara,
CA
South Carolina
South Central States (TX, AR, OK)
Tennessee
Virginia
Washington DC
West Virginia
Note: There is a $10 minimum
donation required if you select the 50% Nationwide and 50%
Local Programming option.
Event
select an event
Levi's Read-A-Thon
PLEASE NOTE: The Levi's Read-A-Thon event benefits the New York Unit. If you select Levi's Read-A-Thon, you must select New York under Local Programming when indicating your gift designation.
Memorial/Honor Gifts
You can observe and commemorate any occasion
with a gift to RFB&D. We will acknowledge your thoughtfulness
by sending a card to the person(s) you are honoring. The
amount of the gift will not be disclosed.
Yes, I want my gift to be a
Memorial Gift. I will fill out the information below.
Memorial Gift
Gift in memory of:
Title
Select One
Mr.
Mrs.
Ms.
Dr.
First Name
MI
Last Name
Please send notification
of memorial to: Title
Select One
Mr.
Mrs.
Ms.
Dr.
First Name
MI
Last Name
Address of person memorial
is being sent to:
Address 1
Address 2
City
State
Choose a State
Outside US / Canada
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northern Mariana Is
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Province du Quebec
Puerto Rico
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
Zip/Postal Code
Country
Signature for acknowledgement
card
Title
Select One
Mr.
Mrs.
Ms.
Dr.
First Name
MI
Last Name
Yes, I want my gift to be an Honor
Gift. I will fill out the information below.
Honor Gift
Gift in honor of:
Title
Select One
Mr.
Mrs.
Ms.
Dr.
First Name:
MI
Last Name
Occasion (birthday,
graduation, etc. )
Please send notification
to:
Title
Select One
Mr.
Mrs.
Ms.
Dr.
First Name
MI
Last Name
Address of person honorarium
is being sent to:
Address
1
Address 2
City
State
Choose a State
Outside US / Canada
Alabama
Alaska
Alberta
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northern Mariana Is
Northwest Territories
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Palau
Pennsylvania
Prince Edward Island
Province du Quebec
Puerto Rico
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon Territory
Zip/Postal Code
Country
Signature for gift card:
Title
Select One
Mr.
Mrs.
Ms.
Dr.
First Name
MI
Last Name
Please send me additional
information on:
Gifts of appreciated stock
Planned Gifts
Remembering RFB&D in my will
RFB&D programs & services
Credit Card Information
* Credit Card Type
Select a Credit Card
Visa
MasterCard
American Express
Discover
* Credit Card Number
* Expiration Date (month)
Select a Month
January (01)
February (02)
March (03)
April (04)
May (05)
June (06)
July (07)
August (08)
September (09)
October (10)
November (11)
December (12)
* Expiration Date (year)
Select a Year
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
If you would like to make an anonymous gift, or if you would like to learn more about other giving options such as planned giving or named gifts, please call 866-RFBD-585.
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