If you would like to donate to HEIR and receive a free t-shirt, you may do so online at http://www.heir.org/membsub.htm or print and complete the form below and follow further instructions.
Name
Address Line 1
Address Line 2
City
State
Zip
E-Mail
Phone
Donation amount
I would like to
donate to HEIR but do not care to receive a t-shirt.
I would like to
receive t-shirt(s) in the following sizes (indicate quantity in box)
Small Medium Large Extra Large
Delivery Preferences: Please specify below how you would like
to receive your t-shirt(s).
Please mail my
t-shirt(s) to the address above.
Please hold my
t-shirt(s) for me to pick up on Home Education Day at the Capitol on Feb. 25, 2004.
Other (please
specify) in this space:
Mailing Instructions:
Donate by mail by completing and printing the above form and sending along with your check to
H.E.I.R.
P.O. Box 2111
Roswell, GA
30077-2111
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