Printable Donation Form - Print this form and mail or fax to us.

You may donate by sending a check or money order for any amount ($1.00 or more) to: New Energy Foundation, Inc. P.O. Box 2816 Concord, NH 03302-2816 Fax your credit card donation with your Card Type, Name, Number and Expiration Date to 603-485-4710.

I wish to contribute to the New Energy Foundation, U.S. $: $1,000   $500    $250   $100    $75     $50    $25   Other____ FROM: Name:_________________________________________________________________ Address:_______________________________________________________________ Address:_______________________________________________________________ City:___________________________________________________________________ State/Province:__________________________________________________________ Country:_______________________________________________________________

Check here if you wish your contribution to remain anonymous in any honoring of contributors that we may do. Payment Info: Credit Card: _____Visa _____Master Card ____ American Express Credit Card Number: ___________________________________________________ Expiration Date:__________________________ Signature:______________________________________________________________

Optional Information: Phone:__________________________ Fax:_____________________________ E-Mail:___________________________

Any Comments that you may wish to add: why you are contributing, etc.: