Donate to WSA
Donate to the universal rights and world citizenship work of the World Service Authority. We appreciate your support!
World Service Authority, 5 Thomas Circle, NW,
Washington, DC 20005.
I am pleased to donate to the following: AMOUNT 1. Development of World Government Structures ________ (such as a World Court of Human Rights and World Parliament) 2. World Service Authority(R) ________ a. General Services ________ b. World Refugee Fund(sm) ________ c. World Legal Fund(sm) ________ d. World Law Internship Program(sm) ________ e. World Citizen/Government News(sm) ________ f. World Syntegrity(R) Project ________ g. World Citizen Web ________ h. Electronic Communication ________ TOTAL ________ Or: I wish to donate $________(amount), ________(number) times per year.
Name_________________________________________________________________ Address______________________________________________________________ _____________________________________________________________________ Phone:___________________________Fax:________________________________
E-mail:______________________________________________________________
I am a registered World Citizen: Yes___No___ Registration Number:_________________________
Type of Credit Card (Check One): ___ Visa ___ Mastercard ___ Discover ___ Diner's Club ___ American Express Credit Card Number:_______________________________ Expiration Date (Month/Year): ____________________ 3-digit CV code _______ (on back side of card) Name as it appears on the card: ____________________________ Authorized Signature and Date: _____________________________ Telephone and email of Cardholder ___________________________ Billing Address including Postal (Zip) Code: _______________________________
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Thank you for your very generous contribution.