National Catholic Reporter Friends Annual Appeal

MY NAME:___________________________________________________________________

ADDRESS:__________________________________________________________________

CITY:________________________________________  STATE/PROVINCE_____________

ZIP/POSTAL CODE____________________    COUNTRY___________________________

YES, count me as a Friend of NCR:  ____$50   ____$100    ____$250   ____$1000   ____Other

 ___ I also wish to give a gift subscription in addition to my Friends contribution (see below). I've included the $43.95 subscription fee. (Non-USA addresses, the subscription cost is $82.95.)

 ___ I do not want my name published in your annual list of donors.

PAYMENT OPTIONS: NOTE -- All contributions are tax-deductible (United States).

 ___ Check enclosed. Please make check payable to National Catholic Reporter.
      (Mail to: 115 E. Armour Blvd., Kansas City, MO 64111, USA)

Credit Card  (Check one type of card.)

     ___ VISA       ___ MASTERCARD

      Account #  |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|   
     
     Expiration Date    Month |__|__|  Year |__|__|__|__|


     CV2# |__|__|__| Card Verification Number (The last 3 numbers located on the back of your credit card inside the signature line.)

     Signature ___________________________________________

     Phone (
optional)______________________       E-mail (optional)______________________

___ Electronic Funds Transfer.
Please send me the necessary forms for setting up a monthly or quarterly Electronic Funds Transfer.

Fill in below if you are giving a gift subscription in addition to your contribution.

MY FRIENDS NAME:___________________________________________________________

ADDRESS:__________________________________________________________________

CITY:________________________________________  STATE/PROVINCE_____________

ZIP/POSTAL CODE____________________    COUNTRY___________________________

Return form to:  National Catholic Reporter, 115 E. Armour Blvd., Kansas City MO 64111,  USA