In Memory of:

In Honor of:

In Celebration of:

Other:

Contribution: $

Donor Name:

Address:

City:

State & Zip:

Please notify:

*Name:

Address:

City:

State & Zip

*Your gift will be attractively acknowledged to the designated individual. You will also receive a confirmation.

Complete and return to:

American Printing House for the Blind

Development Department

1839 Frankfort Ave.

P.O. Box 6389

Louisville, KY 40206-0389

Or call toll free: 1-888-295-2405, or e-mail Dev&MagDpt@aph.org.

©2007, American Printing House for the Blind, Inc.