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