<p> Create RESULTS in Your Community</p><p>RESULTS / RESULTS Educational Fund ● 1101 15th St., NW, Suite 1200 ● Washington, DC 20005 (202) 783-7100 ● www.results.org</p><p>WAYS TO BE INVOLVED: Please send me e-mail alerts on: (check at least one) ACTIVISTS U.S. Poverty Issues:  Participate as part of a committed core group of advocates ____ U.S. Health Care who: meet twice monthly to plan and take specific action on ____ U.S. Hunger and Nutrition issues of hunger and poverty and to attend the monthly conference call; participate in leadership of the group; conduct ____ Welfare Policy regular outreach to grow your group; make a yearly donation ____ Asset Building/Savings to RESULTS/RESULTS Ed. Fund of at least $35. ____ Budget Priorities and Taxes RESULTS ACTION NETWORK ____ Early Childhood Education  Participate occasionally by: receiving monthly email action Global Poverty Issues: alerts and invitations to attend monthly RESULTS meetings, conference calls or letter writing campaigns and taking action ____ Basic Education during critical times such as national call in days. ____ Child Survival and Maternal Health DONORS ____ AIDS/TB/Malaria  Help generate the power to ensure a better world by making a ____ Microfinance one-time gift or becoming a monthly sponsor. See below.</p><p>Name: ______</p><p>Address: ______</p><p>City/State/Zip: ______</p><p>Phone: (h) ______(w) ______(c) ______</p><p>E-mail: ______Monthly Action Sheets are sent via e-mail; if you prefer U.S. mail, please check here ______</p><p>Who introduced you to RESULTS?______</p><p>DONOR INFORMATION Giving Options:  I would like to make a one-time gift of $______A gift of $35 or more will make you a member of RESULTS/RESULTS Educational Fund.  I will pledge my monthly support of (see below*): $10_____ $20______$50______other $______I would like my gift to go to:  RESULTS: Your gifts to RESULTS are extremely important, as they directly support our lobbying activities. Because we lobby, a gift to RESULTS is not tax deductible.  RESULTS Educational Fund: This contribution is tax deductible. It pays for non-lobbying activities. Payment Options:  My check is enclosed.  Please charge my (circle one): Visa Mastercard American Express</p><p>______Cardholder’s Name Credit Card Number Expiration Date</p><p>______Signature Date *For monthly donors only (required):  Please Debit my Checking Account: I authorize an electronic funds transfer each month from my checking account. I have enclosed a check for my first month’s payment or a deposit slip to set up the EFT.  Please Charge to my Credit Card: I authorize having my pledge automatically charged to my credit card each month.  I will write a Check each Month: Please send me a reminder envelope to my address each month. **You can stop automatic payments at any time by contacting the RESULTS national office at (202) 783-7100.**</p>