CONTRIBUTION TO LITERACY
Membership

PRINT AND MAIL IN

I pledge the following tax-deductible contribution
to support VITA:  


Member………………………………………$15.00
Donor…………………………………………$25.00
Sponsor……………………………………….$50.00      
Patron………………………………………..$100.00



THANK YOU IN ADVANCE FOR YOUR CONTRIBUTION TO LITERACY.



Name___________________________________________________

Address_________________________________________________

City____________________________________________________

State_____________________________________Zip____________



VITA 
905 Jefferson St., Suite 404
Lafayette, La. 70501
(337) 234-4600

Last Updated 08/05/03 11:00:30 AM