Make a Tax-Deductible Donation to Telelaget

Print this page and mail it along with your check made out to Telelaget of America, to

Rachel Gorka

698 North 5th Street

New Richmond WI  54017

Your name _________________________________________________

Address ___________________________________________________

City __________________________ State _________   Zip _________

Donation amount:  _______________________________

In Memory of _______________________________________________

In Honor of _________________________________________________

If you would like us to send a card to a family member acknowledging

your gift, please provide the name and address in the comment section below.

Comments:

Thank you!