Federal Tax ID
# 20-1803239

Federal Tax ID
# 20-1803239

2011 DVD Gift


To get your 2011 DVD gift set when you contribute $50.00 (Domestically in the USA) or

$60.00 (Internationally)

Fill in this form and  Submit it so we can send your DVD copy to you as soon as possible

After you have submitted this form you may select from several methods of payment:

  • Credit card through either
    • PayPal (you don’t need to be a member) or
    • Google Checkout (They don’t charge us a fee).
    • Call us to pay by credit card over the phone.
  • Send a check by mail.

 

Donor’s Name:

Donor’s Phone:

Donor’s E-mail:

 

Check the Contact Me box (below)

IF:

    You do not want to pay on line by credit card and want us to call you to take your credit card payment on the phone.  We will then arrange a time that we will call.

    You wish to order a quantity of DVD sets.

Otherwise just leave the Don’t Contact Me box checked

 


 Contact Me
 

Don’t Contact Me

 

 

    Ship to Name:

    Address

Address 2

    City

    State

Country:

    Zip or Postal Code

 

PRINT A COPY OF THIS FORM FOR YOUR RECORDS and then Click the Submit Button below to send your order directly to us via the Internet

 

 

 

 

Copyright © 2011 - The Corneal Dystrophy Foundation.