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 (*If you'd like to use this form to pledge toward the 2011 Annual Fund or the Ian G. Barbour Chair Campaign, 2007--December 2012, please indicated your intentions here:)

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

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Profession

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Home Address City & State Zip/Postal Code

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Country

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Institution Name and Department

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Institution Address City Zip/Postal Code

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Day Phone No. Evening Phone No.

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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 5 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