Yes, I want to support the work of WorldBoston!

Please accept my tax-deductible donation in the amount of:

$_____________

Form of Payment:

¨ Cash

¨ Check (please make check payable to WorldBoston)

¨ Credit Card (Visa, Mastercard and American Express only)

          Card Number: ________________________ Exp. Date: _______

          Signature: ___________________________________

Name:________________________________________________

Mailing Address:________________________________________

Phone/E-mail:__________________________________________

Please print form and mail to:

One Milk Street Ÿ3^rd Floor

Attn: Executive Director

Boston, MA 02109

(617) 542-8995

www.worldboston.org

THANK YOU FOR YOUR SUPPORT!