Thanks for Contributing to PEACE in Fort Wayne!
[Please print, complete and return with your check to the address below.]


Yes!  I support the work of Fort Wayne Peace Action and want to help.
Enclosed please find my gift of:


$35 ___    $50 ___    $75 ___    $100 ___    $500 ___    $1000 _____    Other $ _____

Name: ____________________________________________________

Street: ____________________________________________________
 
City: _____________________ State/Province:_____ Zip:____________

E-mail: ___________________________________________________

Home Phone: ( ___) _________________ (Optional)

Date______________________________________



Contributions to Fort Wayne Peace Action  are
not tax-deductible.

Please be as generous as possible and make your check payable to:
FWPA and
mail it with this form to:

FWPA, 
4428 Mirada Dr
Fort Wayne, IN 46816-1645


Thanks so much for your support! We couldn't do it without you.!

Fort Wayne Peace Action respects our supporters privacy. Information
provided by you will never be sold, rented, exchanged or otherwise
disclosed to any other organization