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DONOR FORM

Name __________________________________________________
Address _________________________________________________________________
State & Zip ____________________ Phone Number (_____)_______________________
Email Address _______________________________
I would like to receive GILDs newsletter: Y/N
PLEASE INDICATE:
_____$10

_____$30

_____$50

____other

Enclosed is my check of: $_____________

Thank you for your generosity and we hope to work with you again the future! Please make
all checks payable to Global Issues Leadership Development. For more information or
inquiries, email gildhumanrights@gmail.com.

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