International Student House, Washington, DC

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On-Line Donation Form (Secure Access)
Yes, I want to support ISH with my tax-deductible donation!

Amount of Donation:

$5,000	$1,000	$500
$ 250	$100	Other $

My donation is (can be split among 2 or more):

Undesignated	For the Endowment Fund
For the Reserve (Building Fund)	For the Annual Appeal
Alumni Donation

I authorize the International Student House to collect my gift of
$ through my credit card (VISA or Mastercard only)

Name on Card:
Exp. Date (ex. mm/yy)
Credit Card #:
Secure Code: (3 or 4 digit code on back of card)

This contribution is made in honor of:
in memory of:
anonymously

If you are an alumni of the House what year were you a resident?

Name: (as you would like it in the Annual Report)
Address 1:
Address 2:
City:
State or Province:
Zip or Regional Code:
Country:
Home Telephone:
Bus. Telephone:
Fax:
E-mail:
Confirm Email:

What Year did you stay: