The American Go Foundation

Donation Form

Mailing Address: 211 West 106th Street, Apt. 3C, New York, NY 10025

Name _____________________________________
Address ___________________________________
City ____________________ State___ Zip ______
Email address (preferred) _____________________
Phone number (optional) _____________________

Amount enclosed ______
Make checks payable to the American Go Foundation

Please use this donation for the (select one):
General Fund _______
Go Camp (support & scholarships) _______
Suggestions/Comments _________________________________________________

Contribution levels:
Donor (to $99)
Supporter ($100- $249)
Organizer ($250-$499)
Promoter ($500-$999)
Go Angel ($1000 or more)

The American Go Foundation does not share its donor list or contact information with any other charity or organization. Names of donors may be published from time to time on the AGF website or in fund raising literature. Please indicate with your donation if you wish to be excluded from listings. You will receive written acknowledgment of your donation.