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Mail-In Donation Form

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Mail-In Donation Form
Mail-In Donation Form
Organized under the laws of New York State as a not-for-profit corporation, the U.S. Fund for UNICEF is exempt from tax under
section 501(c)(3) of the Internal Revenue Code and qualifies for the maximum charitable contribution deduction by donors.
MAIL-IN DONATION FORM
To make a donation by mail, please type or clearly print your information into this form, print it out and send
with a check or money order payable to the U.S. Fund for UNICEF to:
U.S. Fund for UNICEF, 125 Maiden Lane, New York, NY 10038
Your generosity will bring us closer to the day when no children die from preventable causes.
DONOR INFORMATION
FIRST NAME: LAST NAME:
Company/Organization (if applicable):
Address Line 1:
Address Line 2:
City: State: Zip/Postal Code:
Country:
Primary Phone #:
GIFT INFORMATION
DONATION AMOUNT (check one): $50
$100
$250
$500
$1,000
Other Amount ($)
PAYMENT TYPE (check one): Check/Money Order (please attach to form)
Visa
Master Card
American Express
Discover
Credit Card Number: Expiration Date (mm/yy):
Cardholder Name:
SIGN UP
RECEIVE REGULAR EMAIL UPDATES ABOUT UNICEF’S WORLDWIDE CHILD SURVIVAL PROGRAMS.
Yes, sign me up! No, thank you.
Email Address:
WB_XXXCUM13YCGEN
Mail-In Donation Form