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
600 W. Van Buren Street
Suite 500
Chicago, IL 60607

Donor Information

Name: ___________________________

Address: ________________________

City, State, Zip: ______________ , _____ , __________

Phone: _____ – _____ – _____________

Email: ____________________________

Optional (we limit email to 6 or less per year)

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: ________________________________________________

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.