The Center for Theology and the Natural Sciences
Donation Page to Mail or Fax
For all who are concerned about faith in an age of science: Help keep CTNS programs, research, teaching and public service going!
Please indicate your gift below for your tax-deductible donation.
$______ The Ian G. Barbour Chair in Theology and Science Campaign* (information at www.ctns.org/chair)
$______________ Total Enclosed
Name (Please print) Circle your title: Mr/Mrs/Ms/Dr/Rev
________________________________ ______________ ____ _____________
Home Address City & State Zip/Postal Code
Institution Name and Department
_______________________________ ____________________ ______________
Institution Address City Zip/Postal Code
Day Phone No. Evening Phone No.
Email (will not be given out or sold) Fax
Please make checks payable to CTNS in U.S. dollars, or donate by credit card:
__ Bill my credit card: ____VISA ____MasterCard.
home address is my billing address.
___ ___ ___ ___- ___ ___ ___ ___- ___ ___ ___ ___- ___ ___ ___ ___ Security number on back _____
Credit Card number
Expiration Date ____________ Signature_________________________________
print out this form to mail or fax to CTNS. If paying by check, please make check or
money order in US Dollars, payable to CTNS and mail to: CTNS,
If paying by credit card, you may mail or fax your application to a secure location: Fax: 510-848-2535 or call 510-848-8152 between the hours of and . CTNS is a 501 (c) 3 non-profit corporation.
Back to www.ctns.org/donate