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Section I – Contribution Information

*Current NSS Member?      Membership # (if known):  
*Contribution Amount:              
  ($5 minimum)              
Other information or questions:

Section II – Donor Information

*First Name(s):     *Last Name:  
Please provide an email address to receive confirmation of this transaction.
*E-Mail Address:
Please select your Country first.   If not found, select your Continent to bring up list.
*Country:
*Street Address:
*Town/City:      
*State/Province:     Other:  
*Phone Number:      

Section III – Payment Information

To pay by check or to provide credit card information by mail or fax, use the paper version of this form.
 
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*Credit Card Number:
*Expiration Date: Month:       Year:  
*Cardholder's Name:

NSS is a non-profit 501(c)(3) organization.
Your contribution is tax-deductible to the extent permitted by law.


   

 
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Updated Tuesday, 08-May-2018 04:35:57 EDT
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