|
 |
|
Please print this form and mail it with your donation to:
The Ayn Rand Institute, 2121 Alton Pkwy, Suite #250, Irvine, CA 92606 |
Name
|
Street Address
|
City, State, Zip/Postal Code
|
Country
|
Visa or MC# (if paying by credit card)
|
Expiration Date
| |
| |
Please accept my/our donation in the following amount:
|
$35.00
|
$50.00
|
$100.00
|
$500.00
|
Other: _________
Requested premiums (if any): | |
Signature
|
|
The Ayn RandŽ Institute (ARI) is a 501(c)(3) nonprofit organization. Contributions to ARI in the United States are tax-exempt to the extent provided by law.
| | |
|