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Donate by Mail to The School for Human Rights To donate by mail, please print out the form below and send it with your check or (international) money order to: HREA, Inc. Please make checks and money orders payable to HREA, Inc./The School for Human Rights If you choose to use your credit card, please fill in the required information at the bottom of the form. ----------------------------------------------------------------------------------------- Last Name:___________________________________ First Name:__________________________________ Middle Initial:______________________________ Organisation:________________________________(if applicable) Address:_____________________________________ City:________________________________________ Province/State:______Zip/Postal Code:_________________ Country:_____________________________________ Daytime Telephone:___________________________ Evening Telephone:___________________________ Fax:_________________________________________ Email Address:_______________________________ I want to make a contribution of:$___________ U.S. Currency ___ _______ ________ ________ ______ _______ ______ Credit Card:(check one) ____VISA ____MASTERCARD Credit card number:__________________________ Expiration date:_____________________________ Signature:___________________________________ ------------------------------------------------------------------------------------------- To donate by phone, please call HREA at +1 978-341-0200 or +1 617-312-9245 (weekend). |
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