Yes, I Want to Support Humboldt Literacy Project

We sincerely thank you for your donation.

---

___ $250     ___ $100     ___ $50     ___ $______

Please print:

Name: ____________________________________________

Address: _________________________________________

City: ______________________   State: ____________   Zip: _____________

E-mail Address: ___________________________________

Telephone: _______________________________________

---

Please make checks payable to:  Humboldt Literacy Project

Our mailing address is:   P.O. Box 6402, Eureka, California 95502

Please call the office if you have any questions:  445-3655 or 725-0655