LEARNING DISABILITIES ASSOCIATION OF IOWA
All Shall Know Their Worth
 
$

I pledge
to the Learning Disabilities Association of Iowa over a period of  ÿ one year  ÿ two years
 
and/or give the following securities or property

 

Donor Name(s) (as you wish to be acknowledged)

 

Address

 

City/State/Zip

 

Day and Evening Phone

 

E-mail

 

Please check one:
ÿ Check enclosed
ÿ Bill me:    Quarterly. ÿ Annually  ÿ Other________

This gift is in honor/memory of:  (circle  one)

Name

 

ÿ Please contact me about a planned gift.

Please return this form with your check payable to:
Learning Disabilities Association of Iowa (LDA-IA)
5665 Greendale Rd., Ste. D, Johnston, IA  50131
(515) 280-8558 or (888) 690-5324  FAX (515) 243-1902