Donation by Check
to
People's Resource Center

Please print this page, fill it out, and mail it to us.

  I am enclosing my check for:

              (   ) $25   (   ) $50   (   ) $100   (   ) $250   (   ) $500   (   ) $1000   (   ) Other: $________

              Please make check payable to People's Resource Center.


Last Name: _____________________________

First Name: _____________________________   Middle Initial: _____

Address: ______________________________________________________________

City: ______________________________   State: _____________   Zip: ____________

Day Phone: _______________________   Evening Phone: _______________________

How did you learn about our web site?   Random web search ______     Saw listed in:

              __________________________________________________________________
Please mail to:
      People's Resource Center
      201 Naperville Road
      Wheaton, IL 60187


A thank you letter that can be used as a tax receipt will be mailed to you.

Rev. 8/1/04