Donate to IRC - Donor Form

InterReligious Council of CNY - 3049 E. Genesee St. - Syracuse, NY 13224 - Tel: 315.449.3552 - Fax: 315.449.3103

Donor Form If you prefer to send the form by mail, please click here to download a hard copy, fill it out, and send it back to the InterReligious Council 3049 E. Genesee Street, Syracuse, NY 13224 or fax it to 449-3103. Please call (315) 449-3552 ext. 119 or contact us if you have any questions.
		I'd like to be a friend of the IRC. In support of its work for peace and justice in the Central New York community. I'd like to give:
Amount:	*	$500 $250 $100 $50 $35 Other
Donate to:	*	IRC's General Fund Center for New Americans Community Wide Dialogue Covenant Housing Long Term Care Ombudsman Senior Companion Spiritual Care Other
Comments: (max 200 characters)		Please use this space to provide specific information about your donation.

Name:	*
Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Cell Phone:
Email:	*
Fax:
		Please send me a copy of your Annual Report
		Please add me to your invitation list for the Annual InterReligious Leadership Awards Dinner