TEXT ONLY
VSA arts
of New Mexico
4904 4th N.W.
Albuquerque, NM 87107
Phone 505-345-2872
Fax: 505-345-2896
NM Relay Network:
1-800-659-8331
[email protected]
|
Employment
| Internship | Volunteer Form
|
Application for Admission
VSA arts of New Mexico Contribution Card
Please print out the card and mail to:
VSA arts of New Mexico
PO Box 7784
Albuquerque, NM 87194-7784
Yes! I want to help VSA arts of New Mexico
strengthen its services for children and adults with disabilities.
| Enclosed is my tax deductible contribution of: |
| $250___ $100___ $50__$30__ Other $____ |
| My tax deductible pledge of $ _________ |
| Method of Payment: Check_____
MasterCard/Visa_____ |
| will be paid (month) __________, 2000. |
| Card Number__________________________________ |
| Expiration Date:_______
Signature________________________ |
| Name_______________________________________________ |
| Address_____________________________________________ |
| City ____________ State___________ Zip
_________ |
| Home Phone _____________________ |
| Work Phone _____________________ |
| Special Designation for my
contribution:___________________ |
If your employer has a corporate
matching program, we will be pleased to fill out the necessary paper work.
Thank You for your generosity! |