ISPCAN Donation Form

Date:
 

Dear ISPCAN:

I want to join you as a donor in your work to protect children from violence worldwide.

Please accept my donation in the amount of:

2,500
1,000
$500
$250
$100
 $50
$20
Other:
(This gift is tax deductable; ISPCAN is exempt under Section 501(c)(3) of the U.S. Internal Revenue Code).

Please use my donation in the following way:

Wherever the need is greatest
For training of professionals in developing countries
For scholarships and free memberships, so low-paid professionals in developing countries can attend ISPCAN conferences and participate as ISPCAN members
For developing research and publications on child abuse and neglect
For USA-related activities


Please use my donation to prevent child abuse and neglect in the following country:

 Argentina
Brazil
Cameroon
Congo, DR
Colombia
Estonia
 India
 Kenya
Malaysia
Pakistan
Poland
Portugal
South Africa
Thailand
 

My Payment Information:

My check, payable to ISPCAN, is enclosed
Please charge my credit card in the amount of my donation:

Visa MasterCard Discover American Express

Card #:

Expiration date:

Name as it appears on card:


Address:


City, State, Postal Code:

Country:

Please do not add me to your mailing list.

Mail this form to:
ISPCAN
P.O. Box 809343
Chicago, IL 60680-9343

Fax this form to:
+1 (630) 876-6917

 

Or charge by phone:
+1 (630) 876-6913

 

 

     
   ISPCAN Secretariat Office - 245 W. Roosevelt Road, Building 6, Suite 39 - West Chicago, IL 60185, USA - Tel. 1.630.876.6913