Please Print and Mail:

I would like to help - enclosed is my tax deductible contribution of:

$50 __________   $100 __________   $500 ________   Other  $ _________

Contributions of any amount are welcome

Name:_____________________________________________________________

Address: __________________________________________________________

                __________________________________________________________

Phone: ___________________________   Enail: __________________________

Your Contribution is tax-deductible

Please make checks payable to:

The Sandy Neck Lighthouse Restoration Committee

P. O. Box 147, Barnstable, MA 02630

The Sandy Neck Lighthouse Restoration Committee is a chapter of the

American Lighthouse Foundation

Tax Exempt Number: 01-0499730