Please Print and Mail This Form

To give by mail, please fill out the required personal information below, then either complete the credit card information or attach a check to the form that corresponds to your chosen level of support. Please make any checks out to the Slave Dwelling Project. Once you have completed these steps, mail it in to the address on the form.

 

Slave Dwelling Project Support Form

____ YES, I want to support the Slave Dwelling Project:

• ____Student Level $25
• ____Contributor Level $50
• ____Household Level $75
• ____Friend Level $100
• ____Advocate Level $250
• ____Benefactor Level $1000

*All contributions made to the Slave Dwelling Project are tax deductible for charitable purposes.

 

TAX-DEDUCTIBLE DONATION

____ I would like to make a tax-deductible donation to the Slave Dwelling Project in the amount of $__________.

 

Your Mailing Address

Please place a mailing label here, or fill in the information below:

(Mailing label here)

NAME __________________________________

ADDRESS _________________________________

CITY ____________________________________

STATE __________________ZIP CODE _______

EMAIL ADDRESS: ________________________

PHONE (DAY) ___________________________

CREDIT/DEBIT CARD # ___________________

EXPIRATION DATE __________SEC. CODE _____

AMOUNT OF DONATION $___________

 

The Gift That Gives Back: Purchase a Gift!

____ YES, I want to purchase a Gift Level of Support:

• ____Student Level $25
• ____Contributor Level $50
• ____Friend Level $100

YOUR NAME ____________________________

RECIPIENT’S NAME ____________________________

YOUR GIFT MESSAGE: ____________________________________

_______________________________________________________

_______________________________________________________

_______________________________________________________

Please place a mailing label here, or fill in the information below:

(Mailing label here)

NAME __________________________________

ADDRESS _________________________________

CITY ____________________________________

STATE __________________ZIP CODE _______

EMAIL ADDRESS: ________________________

PHONE (DAY) ___________________________

CREDIT/DEBIT CARD # ___________________

EXPIRATION DATE __________SEC. CODE _____

AMOUNT OF DONATION $___________

 

Thank You for Supporting the Efforts of The Slave Dwelling Project!

Please Mail This Completed Form To:

The Slave Dwelling Project

P.O. Box 1469

Ladson, SC 29456