
To make a donation, please print this form and mail to the office nearest you.
Donor Form
Please consider one of the following categories to help us bring vision
to blind Israelis through the eyes of guide dogs. Thank you!
| Supporting Member (Triple Chai) | $54 |
| Friends of the IGDCB | $100 |
| Guide | $250 |
| Puppy Sponsor | $500 |
| Guiding Hand | $1,000 |
| Leader | $2,500 |
| Pacesetter | $5,000 |
| Guardian | $10,000 |
| Chai Partnership | $18,000 |
| Endowment Fund | $______ |
| Send information on bequests | |
| Send your 7 minute video "Partners" |
I am pleased to help provide "another pair of eyes" for blind Israelis.
Name of Donor: ________________________________________________
Address: ______________________________________________________
City, State, Zip: ________________________________________________
Business Phone: _________________ Home Phone: ___________________
Email: _________________________________________________________
Please charge my:
Visa
MasterCard
AmEx
Account #_________________________________________
Amount $ _______________ Exp. Date ________________
I have enclosed a check in the amount of $___________
(Please make checks payable to Israel Guide Dog Center)
Please sign: X__________________________________ Date ____________
| ISRAEL Noach Braun, Director Israel Guide Dog Center for the Blind Beit Oved 76800, Israel Tax Exempt #58-016-896-1 |
United States Norman L. Leventhal, President 701 Easton Road Warrington, PA 18976 Tax Exempt #23-251-9029 |
U.K. |
Your Bequest..... A Gift of Love
We are deeply grateful for the kindness of people who have included us as
beneficiaries in their wills. These charitable gifts help us to provide independence
and improved mobility for blind Israeli veterans and civilians.