ELC Donation Form

Please enter the amount of your donation and make your check payable to "Education Law Center". You will receive a written receipt if your contribution is $250 or more, as required by law.

Mail check and completed form to:

Chantelle Brown, Fundraising and Event Coordinator, Education Law Center, 60 Park Place, Suite 300, Newark, NJ 07102.

Email Address:

_________________________________

Last Name:

_______________________ First Name: _________________

Organization:

_________________________________

Title:

_________________________________

Address 1:

_________________________________

Address 2:

_________________________________

City: _______________________ State: ________ Zip/Postal Code: _______

Daytime Phone: ___________________ Evening Phone: ___________________

My Donation $ _______________