The Patriot Returns, Inc.

 

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PROTECT FREEDOM OF SPEECH
&
FREEDOM OF THE PRESS

 

The Not-For-Profit charitable organization, The Patriot Returns, Inc. aims to raise funds to provide legal assistance and support for students and educators whose First Amendment rights have been violated in attempts to silence and censor their political opinions.

 

(print page form to mail in:)  

Your Name: Mr./Mrs./Ms./Dr./Jr./First:______________ Last  _____________________

Address: No. and Street ___________________________________________________

 City  ______________State  _______________________   Zip____________________

E-Mail  ________________________________________________________________

Tel. No. (Home)_________________________  (Cell) _____________________________

Amount:  $25____  $50 _______  $75 _________ $100 __________ Other __________

PLEASE NOTE: Tax- deductibility is presently not determined. When known, you will be notified.

Make checks payable to:  The Patriot Returns, Inc.

Mail  with a copy of this form to:

The Patriot Returns, Inc.
P.O. Box 260044  
Bellerose, N.Y. 11426