Make a Contribution

The Laboratory Safety Institute needs your help.

We rely on the newsletter subscriptions, membership fees, seminar/short course registrations, and now, most importantly, donations to support our efforts to promote safety in science education.
For over 20 years, LSI has worked to make health and safety an integral and important part of science education. Now, we seek your help to continue these efforts and valuable information resources like LABSAFETY-L.

The LABSAFETY-L discussion list is a free service of LSI. It's our newest and most effective public service activity. But, we need your support.

If you have not yet made a tax-deductible contribution, please be generous. It's a worthwhile cause. Become a "Friend of the Laboratory Safety Workshop"

Thank you in advance for your generous support.... Jim

--------------------------------------------------------------------------------

I want to become a Friend of the Laboratory Safety Workshop by making a tax-deductible donation in amount marked.

Name: ______________________________________________________
Title: _______________________________________________________
Organization: _________________________________________________
Address: ____________________________________________________
____________________________________________________________
Phone: ______________________________ Fax: ____________________
Email: _______________________________________________________

-------------------------------------------------------------------------------- 

[ ] Friend [$15 to $49]
[ ] Colleague [$50 to $99]
[ ] Associate [$100 to $499]
[ ] Sponsor [$500 to $999]
[ ] Patron [$1000 to $4999]
[ ] Benefactor [$5000 - $9999]

--------------------------------------------------------------------------------

Method of Payment: Check ___ Purchase order ________________

Credit Card Authorization (MC/VISA/AM EXPRESS) ___

Card # ____________________________Expiration Date _______

Signature ____________________________________________

Please make checks payable to: Laboratory Safety Institute.