Thank you for supporting the
The Three Year Economic Program!

Please print out this form and mail to the  address below.
Make all checks/money orders payable to:

THREE YEAR ECONOMIC PROGRAM
4855 S. Woodlawn Ave., Chicago, IL 60615
Do not send cash through the mail

(Please Print)

Name: _______________________________________________________________



Street Address: ______________________________________________________

City: ________________________________State: ______ Zip: _____________

Amount: _______________________Check/Money order No.__________________

Your canceled check or money order receipt will serve as proof of
your contribution, until you request a Year-End Statement.

Call (773)924-6514 for more information on the Three Year Economic Program.