How to Give a Gift that Creates Possibilities

(Please print this form and send it with your donation to: Enable Inc., 13B Roszel Road, Princeton, NJ 08540)

Name___________________________________________________________________

Address:_________________________City:_____________State________Zip:_______

Telephone:_______________________________Email___________________________

Amount of donation (Please circle)
$25
$50
$100
$500
Other______________________

Method of Payment
(Please circle)


Check Enclosed
Credit Card (Visa--MasterCard--Discover--American Express)

Amount Payable $__________

Credit Card Number:___________________________Expiration Date______________

Name on Card____________________________________________________________

Signature________________________________________________________________

My gift will be matched by (Company:)_____________________Contact Name:______________

Company Address:_____________________________________Contact Phone:______________

Mail to:

Enable, Inc.
13B Roszel Rd
Princeton NJ 08540

Or, for credit card gifts, fax to:
609-520-7979

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