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Please join... The Alabama Ear Institute is a 501 (c) (3) public not-for-profit foundation dedicated to touching and improving the lives of children and adults who are deaf or hard-of-hearing through education, research, and family-oriented programs and services. All contributions are appreciated and are tax deductible to the extent the law allows. Please consult your tax advisor. Donation: ___ $25 ___ $50 ___ $100 ___ $250 ___ $500 ___ $1000 Other: ________ Name: ___________________________________ Address: __________________________________ City/State/Zip ______________________________ ___ Yes, I would like to receive AEI's Sound Vibrations Newsletter Donation Made in: ___ Honor of ___ Memory of Name: _________________________________________ Please Notify: Name: ______________________________________ Address: ____________________________________ City/State/Zip ________________________________ Please print this form and mail with check payable to Alabama Ear Institute |