Yes, I will support the ILRC and immigrant rights.

Name 

Title 

Company 

Address 

City 

State 

Zip 

E-mail 

Work Phone 

(999-999-9999)*

Cell/Home Phone 

 I will donate a tax-deductible donation in the amount of:

$50

$100

$250

$500

$1,000

Other $

One time donation of the above amount on my credit card.

I am joining ILRC's Monthly Giving Club, donating $ on my credit card
      monthly beginning 01 02 03 04 05 06 07 08 09 10 11 12 / 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 and ending 01 02 03 04 05 06 07 08 09 10 11 12 / 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 (mm/yyyy).

Credit Card Number  

Expiration Date         

01 02 03 04 05 06 07 08 09 10 11 12 / 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 (mm/yyyy)

Card Holder Name     

* Gifts of $500+ enroll you in the ILRC's Circle of Friends. When you join, you will receive invitations to special events, ILRC updates and annual recognition in ILRC newsletters

 Donation Options:

My Employer will match my gift: (company name)

I do not wish to be acknowledge in public materials.

My donation is a Tribute Donation in honor of: in memory of: of:
Please send acknowledgement to:

Please Contact me with more information about:

How my company/firm can get more involved
The ILRC Monthly Giving Club
The ILRC Circle of Friends
Upcoming ILRC Publications and Seminars
Donating skills/services  
Other

All Contributions are tax-deductible to the full extent of the law. Tax ID #94-2939540