Donate by Mail

To donate by mail, please print out the form below and send it with your check or (international) money order to:

HREA, Inc.
Attn: Information Department
PO Box 382396
Cambridge, MA 02238-2396
USA

Please make checks and money orders payable to HREA, Inc..

If you choose to use your credit card, please fill in the required information at the bottom of the form.

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Last Name:___________________________________


First Name:__________________________________


Middle Initial(s):______________________________


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:___________________________________

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To donate by phone, please call the Information Department at HREA at +1 978-341-0200.