American Council for an Energy-Efficient Economy …

                  American Council for an Energy-Efficient Economy
                                           WASHINGTON, DC




     Name:

     Organization:

     Street Address:

     City:                                                 State:                 Zip:

     Phone:                                              Fax:

     Email:


I would like to support ACEEE by making a donation of $_____________ to help build a
sustainable energy future.

Method of Payment:

____ Check enclosed (payable to ACEEE)
____ Credit Card*
      ___ Amex ___ Visa ___ MC

Card number:                                                               Exp. Date:
Signature:                                                                 Date:

*If paying by credit card, please ensure the address above matches the billing address for your card.

                         Thank you for your support. Please return this form to:

                                               ACEEE
                              Attn: Ann Suydam, Director of Development
                                 1001 Connecticut Ave NW, Suite 801
                                        Washington, DC 20036
                                         Fax: (202) 429-2248

 If you have any questions, please contact Ann Suydam at (202) 478-6363 or asuydam@aceee.org.




Contributions to the American Council for an Energy-Efficient Economy, a tax-exempt organization
  under Section 501(c)(3) of the Internal Revenue Code, are tax deductible as provided by law.



    1001 Connecticut Avenue N.W. · Suite 801 · Washington, D.C. 20036 · (202) 429-8873 / FAX (202) 429-2248