Yes! I wish to make a gift of $1,000 and become a Founder.

Please process my gift for: $ .

Yes! I wish to add Stars ($1,000 per Star) to my Founder membership.

Please process my gift for: $ .

Yes! I would like to honor the following special individual with my gift. (If your honoree is a Quota member, she or he will receive Founder status and will receive all benefits. If she or he is not a Quota member, then you will be listed as the Founder and will receive all benefits.)

Please process my gift for: $ .

Honoree's Name:

Address:

Yes! I would like to remember the memory of
(name)  with my gift. (If the person you are remembering is a Quota member, she or he will receive Founder status. If she or he is not a Quota member, then you will be listed as the Founder and will receive all benefits.)

Please process my gift for: $ .

Quota International is a 501(c)(3) organization designated by the U.S. Internal Revenue Service; contributions are tax deductible as charitable contributions for U.S. federal income tax purposes.

Payment Options:

STEP 1: Select the currency you wish to use for your donation.
United States   Canada   Australia   New Zealand

STEP 2: Please select your method of payment.

Option 1
Please charge a total of $ to my:

Visa   Mastercard

Account #: - - -

Expiration Date: -

Signature:_______________________________________

Today's Date: - -

Name as it appears on card:

Option 2
I am enclosing a check for the full amount of my donation.

Option 3
I would like to join the Wanda Frey Joiner Monthly Donor Club and am pledging $1,000 or more. (For your convenience, you may make monthly payments on a pledge of $1,000 or more. Full recognition of your donation is provided upon receipt of this signed pledge. The minimum monthly pledge payment amount is $100.)

A. Please indicate which payment plan you wish follow:

$1000 - 10 consecutive monthly donations of $100 each
$1000 - 5 consecutive monthly donations of $200 each
$1000 - Other (please specify - $100 per month minimum):
      $ per month

$2000 - 20 consecutive monthly donations of $100 each
$2000 - 10 consecutive monthly donations of $200 each
$2000 - Other (please specify - $100 per month minimum):
      $ per month

Other amount: Please specify amount and consecutive monthly payment plan ($100 per month minimum):
      $ total    $ per month

B. Please sign. Your signature certifies the above pledge:

________________________________________________

C. Please select the method you wish to use for payment of your pledge:

Please automatically deduct $ on the first of the month from my credit card (Visa or MasterCard only):

Please charge my:   Visa   Mastercard

Account #: - - -

Expiration Date: -

Signature:_______________________________________

Today's Date: - -

Name as it appears on card:

Please send me an addressed, stamped "reminder" envelope each month.

Please don't send a reminder; I'll send a check or credit card payment monthly on my own.

STEP 3: Submit your donation by mail. All donations received by Quota International will be acknowledged through the mail. Please send your check, payable as indicated below, along with a completed copy of this form to one of the following addresses:

Donors from New Zealand and Australia:
check payable to "Quota International"

Quota International
P.O. Box 205
Margate, QLD 4019 Australia

Donors from all other countries including the U.S.:
check payable to "Quota International"

Quota International
1420 21st Street, N.W.
Washington, D.C. 20036 USA

Thank you!