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LYNX Educational Foundation
DONATION INFORMATION SHEET

Donation payments can be made by check or credit card. Please choose your level of support below, you must print form and send a completed copy with your tax-deductible donation. Note: This form cannot be submitted online.

MAKE CHECKS PAYABLE TO
LYNX EDUCATIONAL FOUNDATION

509 29th Street
Newport Beach, CA 92663

    Privateersman - $100.00
    Boatswain's Mate - $200.00
    First Mate - $500.00
    Deck Officer - $750.00
    Captain - $1,000.00
    Commodore - $5,000.00
    Other - $______________

Lynx Educational Foundation Tax ID #04-3712260
Print and mail with your payment. Please retain a copy of this form for reference.

YOUR FULL NAME
ADDRESS
CITY/STATE/ZIP
TELEPHONE
EMAIL ADDRESS
PAYMENT TYPE Check     Credit Card (MC or VISA)
CREDIT CARD*
CC EXP. DATE*
SIGNATURE**

* Only if paying by credit card
** Needed if mailing payment

Thank you for your support!