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Photo courtesy John Winters

Thanks to The Boren Foundation, and Jack and Karen Kay Leonard for making this website possible. 

IKE SUPPORTER - REGISTRATION FORM

You can become a supporter of children’s environmental health by:

1. Using JustGive.org

2. Mailing a copy of this completed registration form to IKE,

   3951 N. Meridian St. Ste 160

   Indianapolis, IN  46208

   ;

3. Fax a copy of the completed registration form to IKE at 866-234-8505

4. Sending IKE an e-mail at mccabe@ikecoalition.org with the following information.

NAME __________________________  ORGANIZATION _________________________________

ADDRESS ________________________ CITY, STATE, ZIP _________________________________

PHONE  ________________  FAX ________________ E-MAIL  ______________________________

Please indicate which of IKE's projects or issues you are interested in.

ALL CONTRIBUTIONS ARE TAX DEDUCTIBLE

Donations are graciously accepted to help the organization achieve its mission. Please donate!

Attached is my contribution of:  $25  $50  $100  $200  _____ (other)

Please make checks payable to: Improving Kids’ Environment. IKE also accepts payments by personal or corporate credit cards. The Environmental Management Institute processes contributions on behalf of IKE. Mastercard, Visa or American Express. 

Card # _________________________ Expiration Date _____________

Security Code ____________

Sign here to approve credit card charges:

 _______________________________________________________