Amalgamated Transit Union | Mail-In Form for Haiti Relief Contributions

URGENT APPEAL
FOR VICTIMS OF THE
HAITIAN EARTHQUAKE

Thank you for your contribution to the ATU Disaster Relief Fund, Inc., in support of relief efforts in the aftermath of the recent catastrophic earthquake in Haiti.

Country: *

Email: *

First Name: *

Last Name: *

Address: *

City: *

State/Region/Province: *

Zip/Postal Code: *

Phone: *

Local Union #:

Contribution Amount:

  $10
  $25
  $50
  $100
  $125
  $200
  $250
  Other

* denotes required field

Please make your check or money order payable to "ATU Disaster Relief Fund, Inc." and send it, along with a print-out of your confirmation page, to:

Amalgamated Transit Union
Disaster Relief Fund - Haiti
5025 Wisconsin, Ave., N.W.
Washington, DC 20016

U.S. Contributors: The ATU Disaster Relief Fund, Inc., is an Internal Revenue Code Section 501(c)3 publicly-supported tax-exempt organization. Your contributions are tax-deductible as provided under the Internal Revenue Code. No goods or services were received in consideration for this contribution.

If you would prefer to make your contribution online using your credit card, please click here.

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URGENT APPEAL FOR VICTIMS OF THE HAITIAN EARTHQUAKE

URGENT APPEAL
FOR VICTIMS OF THE
HAITIAN EARTHQUAKE