Yes, I want to help support N.I.D.L. with a financial contribution as a Friend!
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CITY STATE ZIP
*If e-mail is different from personal
AMOUNT OF SUPPORT
[ ] $25 [ ] $50 [ ] $75 [ ] $100 [ ] Other
IF BY PAYPAL PLEASE ADD THE DATE OF TRANSACTION / /
[ ] YES, Please contact me on all events and speakers that NIDL supports.
Your contributions may be tax deductible.