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IKE SUPPORTER - REGISTRATION FORM You can become a supporter of children’s environmental health by:
Using
JustGive.org
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Mailing a copy of this completed registration form to IKE,
3951 N. Meridian St. Ste 160
Indianapolis, IN 46208
; Fax a copy of the completed registration form to IKE at 866-234-8505 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: _______________________________________________________
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