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Donate to BVA

You may donate one of two ways
(prior to printing this form, fill in the requested information):

1. Fax completed form and credit card payment to 1-202-371-8258
2. Mail completed form and payment to: BVA, 477 H Street, NW, Washington, DC 20001
3. Or, call BVA toll-free at 1-800-669-7079.

Your Name:

Email Address:

Mailing Address:

City/State/Zip:

Telephone Number:

Enclosed is gift of:

Check, made payable to Blinded Veterans Association

Please charge my gift to my credit card: Visa MasterCard

Card #: Exp. Date:

Name as it appears on the card (print):

Signature:

Additional request:

I would like to distribute educational literature

Please send me a copy of "Understanding Wills: Why You Need One"

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