JASNA Contribution Form
Name ________________________________________
Address___________________________________________________________
City, State/Province,
Zip______________________________________________
Phone_______________________
Email Address ________________________
I wish to make a contribution to:
| JASNA or JASNA/Canada (circle one) | $_________ |
| Jane Austen’s House | $_________ |
| Jane Austen-related Churches | $_________ |
| Chawton House Library | $_________ |
| Total | $_________ |
US and International donors: Mail check or money order payable to JASNA:
Bobbie Gay
7230 N. San Blas Drive
Tucson AZ 85704
USA
Email: hettyb@comcast.net
Canadian donors: Mail cheque or money order payable to JASNA/Canada:
Nancy Stokes
105-195 Wynford Drive
Toronto, ON M3C 3P3
Canada
JASNA is a section 501(c)(3) tax-exempt organization. US and International
members contributing to JASNA or the Austen sites listed above will receive a US charitable contribution tax receipt. For Canadian tax purposes,
contributions are deductible only if designated for JASNA/Canada; a tax receipt will be
issued for those donations.