DONATION FORM

Center for Inquiry Transnational
1310 Sweet Home Rd.
Amherst, NY 14228

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YES! I (we) wish to support the Center for Inquiry's 
building expansion campaign

I (we) pledge: 

[ ] $250  [ ] $500  [ ] $1,000  [ ] $5,000  [ ] $10,000   

[ ] Other $ ________.

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Paid herewith: $____________ 

The balance of my (our) gift will be paid within ______ year(s).

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[ ] Send directions for making my gift with securities.  
 
[ ] My company matches gifts. Its form is attached.

[ ] Please bill me: (  )Quarterly (  )Semi-annually (  )Annually

[ ] Charge my:  (  )Visa  (  )MasterCard  (  )American Express

Name on Card: [______________________________]
 
   Account #: [______________________________]

  Expiration: [______________________________]

   Signature: [______________________________]


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Special Naming Opportunities:

[ ] Center for Inquiry New Research Center, Amherst, NY:  $1,000,000
[ ] Atrium of New Research Center:	                    $500,000	
[ ] Library Expansion of the New Research Center:           $250,000		
[ ] Rare Book Room of New Research Center:                   $50,000		
[ ] Offices of the New Research Center (10):                 $25,000
[ ] Plaque on Office Desk (10):                               $5,000	
[ ] Plaque on Library Shelf (100):                            $2,000
[ ] Name on a Brick in the New Research Center Patio Floor:   $1,000	
[ ] Small Brick:                                                $500

(These are some examples of plaques and bricks that commemorate 
the generosity of our donors. Please contact the CFI Development 
Department at 1-800-331-8727, ext. 311 or E-mail: 
development@centerforinquiry.net for your special needs.)

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   Name: [____________________]

Address: [____________________]

   City: [____________________]

  State: [____________________]

    Zip: [____________________]

  Phone: [____________________]

 E-mail: [____________________]

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Contributions are deductible for income tax purposes 
to the full extent as provided by law.

Make checks payable to the Center for Inquiry. 
Mail to:

Center for Inquiry
P.O. Box 741
Amherst, NY 14226-0741

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If you have questions contact the Development Department 
at 1-800-331-8727, ext. 311 or 
E-mail: development@centerforinquiry.net


Web Site: http://www.centerforinquiry.net/