Sunday, February 05, 2012
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ASIRT Donation Form
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Your tax deductible support enables us to continue our efforts to save lives and promote road travel safety.

 
    Level of Sponsorship Donation Amount  
    Friend  ($100 - $249)  
    Advocate  ($250 - $499)  
    Supporter ($500 - $999)  
    Benefactor ($1,000 - $2,999)  
    Champion ($3,000 - $4,999)  
    Patron ($5,000 - $9,999)  
    Grand Patron ($10,000 - $19,999)  
    Vanguard ($20,000 and up)  
    Other amount of your choosing  
  Please enter your donation amount (required): $.00  
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Your annual support of ASIRT is greatly appreciated.		  

  

ASIRT is a non-governmental, non-profit 501(c)(3) humanitarian organization.
Association for Safe International Road Travel
12320 Parklawn Drive, Rockville, Maryland, 20852 Phone: 240-249-0100 email: asirt@asirt.org
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