How You Can Support EAC

     GIVE NOW    YOUR INFORMATION IS PROTECTED

Name: First: 
  Last: 
Company or 
Organization: 
  Title:
Address:   Street: 
City: 
  State:    Zip:
Email Address: 
I would like to contribute to EAC's Annual Appeal by investing   $ 
 
Please select from the following choices:  
  EAC General Program Support
       OR
  Creating Opportunities for Seniors MORE INFO
Empowering People through Employment & Education MORE INFO
Supporting People in Recovery MORE INFO
Protecting Children MORE INFO
Building Strong Families & Communities MORE INFO
Comments or 
Instructions: 
 
To Pay by Credit Card: 
 
  VISA Mastercard AMEX Discover
 
Name on Card:  
 
Credit Card #
    Exp. Date
 

To Pay by Check: 
Submit this form to notify us of your gift. Then
  make your check payable to EAC and mail to:
Education & Assistance Corporation
50 Clinton Street, Suite 107
Hempstead, NY 11550
Attn: Development Department



For Additional Information contact:
EAC's Development Department at (516) 539-0150