Donation Form

Print this out and mail it with check or money order to:
Consortium for Independent Journalism (or CIJ)
Suite 102-231
2200 Wilson Blvd.
Arlington, VA 22201

Yes, I would like to support independent investigative journalism. Here is my contribution:

[  ] $25.   [  ] $100*.   [  ] $150**.   [   ] Other $______.

* [   ] As a thank-you gift for my contribution of $100 or more, please send me an autographed paperback copy of your new book, Neck Deep: The Disastrous Presidency of George W. Bush; or Robert Parry's Secrecy & Privilege: Rise of the Bush Dynasty from Watergate to Iraq; or Lost History: Contras, Cocaine, the Press & Project Truth. [Please underline selection.]

** [   ] As a thank-you gift for my contribution of $150 or more, please send me an autographed copy of the hard cover edition of Neck Deep.

 

Name:_______________________________________

Address:_____________________________________

City/State/ZIP:_________________________________

Visa/MC #:______________________ Exp. Date:_____

(If you wish to use a credit card)