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.