Sgt John Basilone Foundation, Inc.

Yes, I wish to help with achieving the goals of the Basilone Foundation!

Yes, I would like to keep American History alive!

My Check is for:

Note: contributions of $150 or more will receive a FREE copy of the Basilone book and a choice of VHS/DVD.

My tax-deductible contribution is:

	For my contribution of $150 or more, I request: to be sent with my free book.

	For contributions over $5,000, please contact the Basilone Foundation (see below)

Please provide the following contact information:

* required information

First Name*
Last Name*
Street Address*
City*
State*
Zip Code*
Country
Home Phone
How I heard about Basilone Foundation
E-mail*

Please print this form and mail with your check to:

Sgt. John Basilone Foundation, Inc.

P.O. Box 6778

Hilton Head, SC 29938

Please make checks payable to:

Sgt. John Basilone Foundation, Inc.

ph# 843-363-6201

ph # 888-827-2762

Alternatively

Checks may be made payable to the Community

Foundation of the Lowcountry,

and mailed to P.O.Box 23019

Hilton Head, SC 29925-3019.

Please mention "for Basilone" on your check.