Stand with the International Women's Health Coalition

Help us raise $1 million by September 30, 2007 to support programs around the world by joining one of IWHC's three Donor Councils. Your participation and tax-deductible contribution to IWHC will provide the fuel and fire needed to ensure women's human rights, health, and equality. 

Print this page and return to IWHC, 333 Seventh Avenue, 6th Floor, New York, NY 10001 or click here to make a credit card donation online through Just Give, a secure environment that uses encrypting technology to protect your privacy.

Count me as a member of the:

• Chair's Council $25,000 or more

• President's Council 
  • $10,000 or more
  • $5,000 or more
  • $1,000 or more

• New Leadership Council $250 or more

I prefer not to join a Council but would like to contribute $_____________ to IWHC.

I am making a two-year pledge, at $______________ per year.

Enclosed is my check payable to IWHC for $________________.

Please charge my credit card in the amount of $_______________.
 ____Visa     ____Mastercard    ____American Express  

Name on Credit Card_____________________________________ 

Card Number_______________________________     Expiration Date_____________

Signature__________________________________     Date_____________

Name (as you would like it to appear in print)_________________________________

Organization__________________________________

Address___________________________________

City__________________________  State_____  Zip_________  Country__________

Home Phone______________________  Business Phone________________________

E-mail________________________________________

For information on making gifts of securities, tribute gifts, or bequests contact Laura Miller, 212-979-8500 ext. 280 or lmiller@iwhc.org.

Many companies match gifts for employees and their spouses. Inquire to see if your company will match your gift.

Thank you for your support. Together we will make a difference.