Direct Mail Contribution/Pledge Form

 

I will support DASEF’s mission to build ITEC by contributing a tax-deductible
donation of $ _____________.
or by pledging a tax-deductible donation of
$ _____________ to be paid over _________ year/years.
Name _______________________________________________
Address ______________________________________________
City _______________________________ State __________
Zip Code _______________ Telephone __________________
Enclosed is my check for $________________
Enclosed is my monthly/quarterly/annual payment of $________________
Charge my payment of $______________________
to my credit card: Please circle VISA or MASTERCARD
No: ______________________  Card Code (on back of card): __ __ __
Expiration Date: __________
Name as it appears on credit card:________________________
Authorized Signature: __________________________________

I acknowledge and accept the terms and conditions of this transaction
and verify that I am the cardholder and that all is true and correct.

Please print out and mail to:

DASEF/ITEC Capital Campaign
5 Essex Drive
Bear, DE 19701

You can also send your contribution electronically.

DASEF Tax ID # is: 51-0325362

For more information, please call: 302-764-0706.