You can help support NRLC Convention 2004 by
becoming a Patron of Life. Patron donations help underwrite the convention expenses. The
names of all patrons will be published in the NRLC Convention 2004 Yearbook. If you wish,
you may make the contribution in memory of, or in honor of, another individual.
Please send in your patron donation today!
NRL Convention 2004
Arlington, Virginia - July 1, 2, 3
___ Platinum ($500)
___ Diamond ($250)
___ Gold ($100)
___ Silver ($50)
___ Bronze ($25)
___ Rose ($10)
___ Youth ($5.00)
* Please print so names can be published accurately. *
In memory of: __________________________________________
In honor of: __________________________________________
FROM
Name:
__________________________________________________
Address: __________________________________________________
City: __________________________________________________
State: __________________________________________________
Zip: __________________________________________________
Please make checks payable to: NRLC 2004 and sent to:
NRLC 2004
512-10th St. N.W.
Washington, DC 20004
Contributions to National Right to Life
Conventions, Inc. are not tax deductible as charitable contributions for federal income
tax purposes.
PLEASE SEND IN YOUR PATRON DONATION TODAY!!