Yes, I support the Guttmacher Institute in its work to advance sexual and reproductive health and rights for women and men worldwide.

Contributions are tax-deductible.

Please print out this form and mail or fax to:

Guttmacher Institute
P.O. Box 905
Hartsdale, NY 10530
212-248-1111
212-248-1951 (fax)

Amount of gift: $_____________

 Enclosed is a check made payable to the Guttmacher Institute

 Please charge my credit card as listed below

Credit Card (please circle):

VISA     MasterCard     Amex

Credit Card #:

Signature:

Exp. Date (mm/yy):_________

Name:

Address:

City, State:

Country:

Apt./Suite:

Zip:

E-mail:

Phone:

 Please keep me informed about the Guttmacher Institute's work. Add my name to the Guttmacher Institute donor e-mail list.

 I would like to receive more information on planned giving and how I can include the Guttmacher Institute in my estate planning.

 Do not share my name or address with other organizations.

Comments:

 

 This gift is in honor of: (name & address)

 

 This gift is a memorial to (name):