Mail-in donation form

April, 13 2020
Uncategorized

Yes, I want to support Moment with a  tax-deductible gift:

 

___ $500  ___$250 ___ $100 ___ $50   ___Other

 

____ Check enclosed payable to Moment Magazine 

 

Credit card #

 


 

 Exp. Date __________________________

 

 Code ____________

 

Name

 


Address

 


 

City, State, Zip

 


 

Email

 


 

___ Please send me information on Moment’s Legacy Giving Program

 

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