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:
$50 __________ $100 __________ $250 __________ $500 __________ $1000 __________ Other $_________
Total donation	___________________________________________________
Name	____________________________________________________
Street Address	________________________________________________________________________________________________________
City	______________________
State	______________________
ZipCode	______________________
Telephone	______________________
E-mail	______________________

 

* 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.