The Center for Theology and the Natural Sciences


Donation Page to Mail or Fax

For all who are concerned about faith in an age of science: Help keep CTNS programs, research, teaching and public service going!

Please indicate your gift below for your tax-deductible donation.  

$______ The Ian G. Barbour Chair in Theology and Science Campaign* (information at www.ctns.org/chair)

$______________ Total Enclosed

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Name (Please print) Circle your title: Mr/Mrs/Ms/Dr/Rev

 

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Profession

 

________________________________   ______________ ____   _____________

Home Address                                          City & State                Zip/Postal Code

 

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Country

 

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Institution Name and Department

 

_______________________________   ____________________  ______________

Institution Address                                    City                                 Zip/Postal Code

 

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Day Phone No.                             Evening Phone No.

 

_______________________        _________________________

Email (will not be given out or sold)           Fax

 
Please make checks payable to CTNS in U.S. dollars, or donate by credit card:

 

__ Bill my credit card:  ____VISA  ____MasterCard. 

__My home address is my billing address.  

___ ___ ___ ___- ___ ___ ___ ___- ___ ___ ___ ___- ___ ___ ___ ___ Security number on back _____

Credit Card number

Expiration Date ____________  Signature_________________________________

 

Please print out this form to mail or fax to CTNS. If paying by check, please make check or money order in US Dollars, payable to CTNS and mail to: CTNS, 2400 Ridge Road, Berkeley, CA USA 94709-1212 .
 

If paying by credit card, you may mail or fax your application to a secure location: Fax: 510-848-2535 or call 510-848-8152 between the hours of 9 am and 5 pm PDT. CTNS is a 501 (c) 3 non-profit corporation.

Thank you!
Back to www.ctns.org/donate