Gifts by Mail
To donate by mail, please print this page (File > Print), fill out the form below, and mail to:
Lead Abatement Resource Center
111 West Jackson Blvd.
Suite 1700
Chicago, IL 60604
Donor Information
Name: ______________________________________________________________________________________________________________________
Address: ____________________________________________________________________________________________________________________
City: _______________________________________ State: _______ Zip Code: _______________
Phone: _____ – _____ – _____________
Email: _______________________________________________________________________________
To donate by check
Enclosed is my gift of $____________(Please make checks payable to Lead Abatement Resource Center)
To authorize credit card
Please charge my credit card for $_________________ VISA MC AMEX
Credit Card No: ________________________________________________ Security Code: _____________ Expiration Date:______/_______
Name as it appears on card: ________________________________________________________
Signature: ________________________________________________________
This donation is made:
In Honor of: ________________________________________________________
In Memory of: ________________________________________________________
Other: ________________________________________________________
Lead Abatement Resource Center is a 501 (c) (3) nonprofit organization. All donations are tax-deductible.
Tax ID # 46-4823865