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Champion the Naval Institute

I want to help secure the Naval Institute's future success with tax-deductible gift of

$5,000
$1,000
$500
$100
$25
other: $
... in each of the following years: 2004    2005   2006   2007
 
Please use my gift to support this program:  
 
I prefer to make annual semi-annual quarterly payments in the month(s) of
January February March
April May June
July August September
October November December

 The foundation may not list me as a supporter.

Please complete and submit this form over the Naval Institute's secure server. If you prefer, you may print the form and mail or fax it to the address or phone number listed at the bottom of this page.

* = required field

*Name (first, last):
*Address:
*City/APO/FPO:
*U.S. or Canadian State or Province:
(APO/FPO addresses choose AA, AE, or AP)
*ZIP Code:
*Country:
*Daytime Phone:
Country Code *Area Code *Phone Number
 
*E-mail:
   
 

Method of Payment
  Mastercard
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*Card Number:
*Expiration Date (mm/yy):
*Cardholder's Name:

Where did you learn about opportunities to support the Naval Institute?

I'm a Naval Institute member
Personal contact with a Naval Institute staff member
Visiting the Naval Institute's website
Reading Proceedings
Attending a Naval Institute seminar
Received a Naval Institute mailing
Other (write in)
 

You may also print this form and mail to:

The Naval Institute Foundation
291 Wood Road
Annapolis, MD 21402

Or fax this form to (410) 295-1084.

For additional information, please call Helen McMickle at (410) 295-1052 or email her.

Mandated Disclosure for Charitable Organizations

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