Make a Tax-Deductible Donation to Telelaget

Print this page and mail it along with your check made out to Telelaget of America, to

Shelley Jerviss

Box 292

Houston, MN  55943

Your name _________________________________________________

Address ___________________________________________________

City __________________________ State _________   Zip _________

Donation amount:  _______________________________

In Memory of _______________________________________________

In Honor of _________________________________________________

If you would like us to send a card to a family member acknowledging

your gift, please provide the name and address in the comment section below.

Comments:

Thank you!