Welcome to Recording for the Blind & Dyslexic

Thank you for your interest in supporting RFB&D, the nation's educational library for students with print disabilities. In Fiscal Year 2005, RFB&D served 141,660 students of all ages with textbooks in accessible formats. Remember that a full 78 percent of our revenue goes directly into services for our members.

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
*First Name MI
*Last Name
*Address, Line 1
Address, Line 2
*City
*State
*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

50% Nationwide and 50% Local Programming
Select a nationwide location
Note: There is a $10 minimum donation required if you select the 50% Nationwide and 50% Local Programming option.

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
First Name MI
Last Name

Please send notification of memorial to: Title
First Name MI
Last Name

Address of person memorial is being sent to: Address 1
Address 2
City State
Zip/Postal Code
Country

Signature for acknowledgement card Title
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
First Name: MI
Last Name
Occasion (birthday, graduation, etc.)

Please send notification to: Title
First Name MI
Last Name

Address of person honorarium is being sent to: Address 1
Address 2
City
State
Zip/Postal Code
Country

Signature for gift card: Title
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
*Credit Card Number
*Expiration Date (month)
*Expiration Date (year)

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.

*indicates required fields

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Recording for the Blind & Dyslexic® • RFB&D® •
National Headquarters • 20 Roszel Road • Princeton, NJ 08540

© 2008 Recording for the Blind & Dyslexic, Incorporated. All Rights Reserved.
Recording for the Blind & Dyslexic®, RFB&D®, Learning Through Listening®,
the "Heart and Headphones" design, and all trademarks
are owned by Recording for the Blind & Dyslexic, Incorporated.

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