Schools across the nation have started again, and like all other Americans, we live in terror of another Columbine, or another Los Angeles. We are grateful that you've offered your help in
this mission to end such senseless violence. Now is the time to act - America's children deserve safe schools and communities, free from the fear of gun violence. 

        If you would prefer to contribute by phone, please call
         The Center to Prevent Handgun Violence at (202) 289-7319 

Or, you may print out this form and send it to us at the address below. We will have and on-line form shortly. 
 

Prefix:____________________ First Name:_________________________ Middle Initial(s):______________
Last Name: _______________ Address: __________________________ Address:___________________
City: _____________________ State: _____________ Zip: _______________________
E-mail: ____________________ Phone: _____________________

 
To learn more about about how to include the Center in my estate plan

Contribution: 

I want to do my part to make certain that children are returning to school this
year without the fear of gun violence. That's why I'm making a contribution to 
help the Center to Prevent Handgun Violence expend its life-saving programs
into my community and across the nation and  end the terrible tragedy of children
killing children in the amount of: 
 

$250  $100 $75
$35  $20 $15
Other Amount: 
 
 

Payment Options 

Please charge my credit card the amount I have indicated above.   

Charge my: 
Number: ___________________ Name on Card: ___________________________ Expiration Date
(MMYY): _______________________

Please Print out this form and mail to:

Center to Prevent Handgun Violence, 1225 Eye Street, NW, Suite 1100
Washington, D.C.
20005

Contributions to the Center to Prevent Handgun Violence are tax deductible.  Please consult your tax advisor.  If your company has a charitable giving program, please ask the personnel office about matching your gift.