Please print the form below, fill it out and mail to:

 

U.S.ENGLISH, Inc.

1747 Pennsylvania Ave., Suite 1050

Washington, DC 20006

Attn: Membership Department

 

Amount

I support U.S.ENGLISH, Inc. in its efforts to establish English as the official language of the United States, with a contribution in the amount of:

Amount:

¨ $25      ¨ $50      ¨ $100      ¨ $250      ¨ Other $______

 

 

Contact Information

 

 

First Name:

 

Last Name:

 

Address:

 

Unit: (Optional)

 

City:

 

State:

 

Zip:

 

Phone Number:

(      )      -

Email:

 

 

 

Credit Card Information

 

 

Credit Card Number:

 

Credit Card Type:

¨           ¨           ¨

Expiration Date:

 

Name on Credit Card:

 

 

 

Please make checks payable to U.S.ENGLISH, Inc.

 

Because U.S.ENGLISH, Inc. is a 501(c)(4) nonprofit lobbying organization,

contributions are not tax-deductible.