The
Marshall Legacy Institute
2425
Wilson Boulevard, Suite 313
Arlington,
VA 22201
Phone: 703-243-9200, Fax: 703-243-9701
Please fill out the form below and mail it to MLI.
Gift: We would like to be Friends of MLI and donate:
___ $25 ___ $50 ___$100 ___$250 ___$500 ___Other _______________
We would like to be Supporters of MLI and donate:
___ $1,000 ___$1,500
We would like to be Sponsors of MLI and donate:
___$2,000 ___$3,000 ___$4,000
We would like to be Associates of MLI and donate:
___$5,000 ___$10,000
Pledge: ___ We are interested in sponsoring a landmine detection dog ($20,000) or dogs, please contact me at my daytime/evening (circle one) phone number or via email.
___ Our school/civic group/business is interested in participating in the CHildren Against Mines Program, please mail/fax/telephone (circle one) me with more information.
Contact Information:
Title: _____ First Name:____________________ MI:___ Last Name:_____________________
Organization:__________________________________________________________________
Address:______________________________________________________________________
Address:______________________________________________________________________
City:______________________________________________
State:______ ZIP:____________
Country:______________________________________________________________________
Daytime phone:__________________________ Evening phone:_________________________
Fax:_________________ E-mail address:______________________@____________________
The Marshall
Legacy Institute is recognized as a tax-exempt 501(c)(3) organization
by the IRS; donations to MLI are tax-deductible. Please
make all checks out to The Marshall
Legacy Institute; if you desire your donation to go to a specific
program, please write the program or country name in the memo section. Thank you very much for your generosity.