Name_______________________________
Address________________________________________________________
City____________________________ State______ Zip Code_____________
Phone ____________________
Email _____________________________
____ I wish my contribution to be tax deductible where allowed by law. My check is made out to the Resource Information Help for the Disadvantaged (RIHD) which is a 501(c)(3) organization.
____ I wish to support one or more of the listed below RIHD initiative(s). My check is made out to the RIHD with the initiative(s) in the memo section of my check.
_____ RIHD Postage Stamp Fund**
_____ RIHD Office Supply Fund (paper, printer ink, etc)**
_____ Virginia Sentence Disparity Project Fund
_____ Legislative/General Assembly Advocacy Fund
_____ Free Dictionary to Prisoner Fund**
_____ Free GED Workbook to Prisoner Fund**
_____ Free Religious/Faith Book (Bible, Quran, etc)**
**List of non-monetary donation (e.g. dictionary, postage stamps, etc) _______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Amount Enclosed/Estimated Value $__________________
As part of my donation/contribution, I wish for the below prisoner to receive RIHD quarterly newsletter and seld-help information. Prisoner Name: _______________________________________ 7 Digit Number: ________________
Prison Name: ________________________
Prison Address: ____________________________________
City: ________________ State: _____ Zip: ________