LWVMD: donor form

LEAGUE OF WOMEN VOTERS
OF MARYLAND

Contribution Page

MY CONTRIBUTION TO THE WORK OF THE LEAGUE OF WOMEN VOTERS OF MARYLAND

Name ___________________________________________________________

Organization or Group, if any __________________________________________

Address __________________________________________________________

City _____________________________________________ STATE ________ Zip Code ________

Amount of Contribution to LWVMD $ ___________ Check enclosed ( )

Amount of Tax deductible Contribution to Maryland Voter Education Fund $ ___________ Check enclosed ( )

Please use separate checks for each contribution.

If this donation is to be acknowledged to another party, please complete the information below:

Acknowledge to: Name __________________________

Address _______________________________________

_______________________________________________

MAIL TO:
LWVMD, 106-B South Street, Annapolis MD 21401

Thank You For Your Support!