Intruders Foundation

The Intruders Foundation
Order and information form

Please print the order form and then complete.

I would like to make a donation to the Intruders Foundation and support this important work. Please accept my donation of

	$30 membership
	$25		$500
	$50		$1,000
	$100		$2,500
	$250		$other

If you are placing an order, becoming a member, making a donation, or would simply like your name to be placed on the mailing list please fill out the mailing information below.

Please print all information clearly.

Name:
Address:
City:
State:
Zip Code:
Phone:
Fax:
E-Mail Address:
Occupation/profession:

Quantity	Item Name - specify size and color if necessary	Price




Shipping and handling (United States) $3 first item, $1 each additional item
New York State residents please include 8.25% sales tax
DONATION
TOTAL ENCLOSED

MAKE CHECKS AND MONEY ORDERS PAYABLE TO THE INTRUDERS FOUNDATION

Remember - IF Materials And Memberships Make Great Gifts!

Thank You For Your Support!

Mail to: The Intruders Foundation
ATTN: Product Order
P.O. Box 30233
New York, NY 10011-0112
For further information please call (212) 645-5278 or email us at IFCentral@aol.com

The Intruders Foundation Order and information form

Please print the order form and then complete.

The Intruders Foundation
Order and information form