infinite energy


Printable Donation Form - Print this form and mail or fax to us
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You may donate by sending this form and payment (check, money order, credit card) to:

New Energy Foundation
P.O. Box 2816
Concord, NH 03302-2816

Credit card donations can be faxed to 603-485-4710.

I wish to contribute to the New Energy Foundation, USD:

$1,000   $500    $250   $100    $75     $50    $25   Other____


Name:_________________________________________________________________

Address:_______________________________________________________________

Address:_______________________________________________________________

City:___________________________________________________________________

State/Province:________________________________Zip Code:___________________

Country:_______________________________________________________________

Check here if you wish your contribution to remain anonymous in any honoring of contributors that we may do.

Payment Info:

____ Check Enclosed

Credit Card: _____Visa _____Master Card ____ American Express

Credit Card Number: ___________________________________________________

Expiration Date:__________________________

Signature:______________________________________________________________

Optional Information:

Phone:__________________________

Fax:_____________________________

E-Mail:___________________________

Any Comments that you may wish to add: why you are contributing, etc.: