home | about IETF | membership | information | seeking help | links
  benefits of membership | join IETF | donate to IETF | members only
  @essential tremor.org:  membership:  Donate to IETF
I'm not interested in membership at this time, but I would like to make a tax-deductible charitable contribution to the International Essential Tremor Foundation.

Please fill out the form below. When you are finished, submit it with your online payment, or if you prefer, print it out and mail it to: International Essential Tremor Foundation / P.O. Box 14005 / Lenexa, Kansas 66285-4005

Amount:

Research donation
Memorial donation, in memory of:
Honorarium donation, in honor of:

Name and address of the individual you wish us to notify:




Payment Information:
Note: Please only fill out this section for mailed in payments. For online submissions, you will next be taken to our secure ordering system.

Charge to my:
MasterCard
Visa
Discover
American Express
Check Enclosed 		  Name on card:

Account number:

Expiration date:


Sign here after printing:
Print this Window