* Please print this form and mail it to the ABVI office.  Thank you!

 

Our Mission:

To advance the independence of people who are visually impaired

and to promote the prevention of blindness.

 

 

Association for the Blind & Visually Impaired (ABVI)

456 Cherry, SE

Grand Rapids, MI 49503

 

 

Donor's Name

 

 

Address

 

 

City, State, Zip

 

 

Phone

 

 

Email Address

 

 

 

$25____$50_____$100_____$500_____$1,000_____Other $_____

 

Charge my credit card: _____MasterCard_____Visa_____American Express

 

Card number

 

 

Expiration date

 

 

Signature

 

 

 

This gift is in

Honor of:

 

 

Memory of:

 

 

 

Please send a gift! With your help, those who are blind or visually impaired are able to live independently and confidently! Contributions to ABVI are tax deductible to the full extent allowed by law. Thank you.

 

If paying by check, please make your check payable to ABVI and send to the above address.