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The Correctional Association of New York is a nonprofit organization recognized under I.R.S. 501(c)(3) regulations. Although we receive funding from foundations, corporations and governmental agencies, we rely on support from individuals like you to continue to address the most pressing criminal justice issues of the day. To
make a tax-deductible donation to the Correctional Association by check
or credit card, please print, complete and return this form by mail
to: I am enclosing a tax-deductible donation in the amount of $___________ In honor of _______________________ In memory of ________________________ NAME OF DONOR(S) _____________________________________________________ ADDRESS ______________________________________________________________ CITY_____________________________ STATE_____ ZIP ______________________
Enclosed is my check made payable to THE CORRECTIONAL ASSOCIATION
for: Please charge the above amount to my: MASTERCARD VISA Credit Card # ______________________________________ Expiration Date________ Signature Name (as it appears on credit card, please print)_______________________________ I would like to double my gift with corporate matching funds. Please contact me. I/We give permission to include my/our name(s) in the list of contributors of $250 or more. Please list as: If
you have difficulty printing this form, or have any further questions, |