Mail In Donation Form
To: National Pro-Life Alliance
5211 Port Royal Road, Suite 500
Springfield, VA 22151
From: _____________________________________

_____________________________________

_________________,   ____      _______

With our advances in Congress, we need to push harder than ever to actually get action on pro-life legislation like the Life at Conception Act to legislatively overturn Roe v. Wade.

I understand that the National Pro-Life Alliance is completely dependent on financial contributions from its supporters. Therefore, I am enclosing my most generous contribution of:

___ $10    ___ $25    ___ $50    ___ $100    ___ $250    Other: $_______

Please make checks payable to "National Pro-Life Alliance"

Credit Card Donation

[  ] Visa  [  ] Mastercard  [  ] Discover  [  ] AMEX

Make my donation monthly

[  ]  YES    [  ]  NO  

Credit Card #_______________________________________
Expiration________________________ CVV________
Name as it appears on card____________________________________
Address___________________________________________________
City___________________________ State________ Zip___________
Because of NPLA's tax-exempt status under IRC Sec. 501(c)(4) and its state and federal legislative activities, contributions are not tax deductible as charitable contributions (IRC § 170) or as business deductions (IRC § 162(e)(1)).      PAE0901-WM