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 select your fund below for your tax-deductible donation. 

$______ The CTNS General Fund

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

$______ The J. K. Russell Research Fellowship in Religion and Science

$______ The Charles H. Townes Graduate Student Fellowship

$______________ Total Enclosed

  _______________________________________________________

Name and Title (Please print)

 

___________________________________________

Profession

 

______________________________/_____________________/________________

Home Address,/City & State/ Zip or Postal Code

 

_______________________________

Country

 

_______________________________/____________________________

Institution Name and Department

 

_______________________________/____________________/______________

Institution Address/City/Zip or Postal Code

 

________________________/_________________________

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:
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 2 pm PDT. CTNS is a 501 (c) 3 non-profit corporation. CTNS Federal Tax ID Number: 94-2856737.

For information on planned giving, stock gifts, or wire transfers, please contact CTNS Development by email or call 510- 848-8152

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