Africa Action home About Africa Action | Action Center | Resources and Information | Newsroom
Home > Support Africa Action > Print-out Contribution Form

 

Print-Out Contribution Form
Form Last Changed: January 13, 2004

To support Africa Action:

  1. Print out this form, fill it in, and send it by post with your check, money order or credit card information to: Africa Action, 1634 Eye St. NW, #810, Washington, DC 20006. Please make out checks or money orders to Africa Action. or
  2. Send this form by fax with your credit card information to: 202-546-1545.

To fill in the form online, go to the form on Africa Action's secure web site.

Thank you very much for your support.

YES, I want to support AFRICA ACTION in the fight against AIDS, in the work against global apartheid, and in the struggle for human rights for all. My contribution is enclosed.
$100 $250 $500 $1000 Other amount:
I am enclosing a check or money order.

Charge my payment to my credit card: Visa MasterCard American Express Discover

Card Number: Expiration Date (mmyy): /
Name on card:
Telephone number:

About Me:

First name: Last name:
Title (optional):    
Organization (if any):
Street Address:
City: State or province:
Postal code: Country:
Email:

Africa Action – Incorporating the American Committee on Africa (ACOA), The Africa Fund, and the Africa Policy Information Center (APIC)

Africa Action is a non-profit 501(c)(3) organization under the U.S. tax code. Contributions are tax-deductible to the full extent of the law.


Home | About Africa Action | Action Center | Resources and Information | Newsroom | Site Map | Privacy Policy

AFRICA ACTION :: 1634 EYE STREET, NW, #810, WASHINGTON, DC 20006 USA
Tel: (202) 546-7961 ::::: Fax: (202) 546-1545 ::::: E-mail: africaaction@igc.org