Please print out this page. Mail completed form and checks to:
Pure Earth
475 Riverside Drive, Suite 860
New York, NY 10115
Make checks payable to “Pure Earth.”
Enclosed is my gift of: | |||||||
|
|||||||
Total donation |
___________________________________________________ | ||||||
Name | ____________________________________________________ | ||||||
Street Address |
________________________________________________________________________________________________________ | ||||||
City | ______________________ | ||||||
State | ______________________ | ||||||
ZipCode | ______________________ | ||||||
Telephone | ______________________ | ||||||
______________________ | |||||||
* All contributions are tax-deductible as allowable by law. Pure Earth was formerly known as the Blacksmith Institute – a registered 501 (c) 3. Blacksmith Institute now functions as Pure Earth. A recognition letter/receipt will be sent following all contributions.