The Fairfield Review
Order a Book -- Make a Donation


Thank you for your interest in supporting The Fairfield Review. If you are interested in making an anonymous donation, want the quickest way to make a donation, or are not interested our book offers below, please proceed immediately to the Network for Good web site here.

At your option, for each $25 of contribution, we will send you a copy of our publication, The Best of The Fairfield Review, 1997 - 2002 or our newest chapbook, Couplets, Conversations in Poetry. Please tell us any special instructions for your book order or donation in the comments box at the bottom of this form.


Date:
Donation Amount *




Donations, less the $6 value per book, are tax-deductible. A copy of our 501(c)(3) IRS ruling letter may be found here.


Gift Donations





If you would like to make your donation in honor or memory of someone, please tell us who and provide an email address where we can send a notice of the gift. If you would like us to send a book to the honoree, please provide the mailing address and any special instructions in the comments section, below.
In the name of:
Email address for notice:

Book Requested *

Please tell us which book you would like us to send.



Number of Books *
Please tell us how many copies of the book selected above you would like us to send. Please select no more than one book per $25 in donation. Thank you.

Title:
First Name: *
Last Name: *
Mailing Address: *
Address 2:
City: *
State or Province: *
Zip or Postal Code: *
Country:
Phone:
Fax:
Email Address: *
* indicates a required field.

How did you hear about us?

me from future Fairfield Review mailings. Please see our Privacy Statement


Comments about or Special Instructions for Your Donation, Book Order or The Fairfield Review:




Donate Now Through Network for GoodTo complete your order on a secure order site please click the gray button below. We use the Network for Good web site at www.networkforgood.org for secure and easy donations via credit card. Please note that your name and address must match your credit card billing information exactly for The Network for Good to process your donation!
We apologize that some information must be entered twice, but this allows us to gather the information we need to process book orders and send you an acknowledgement for your tax returns, while using a secure, low cost, nonprofit credit card system.

If you prefer to send your donation via post, please print out this form, enclose your check payable to The Fairfield Review, Inc. and mail it to us at:

The Fairfield Review
544 Silver Spring Road
Fairfield, CT 06824

We regret that the onslaught of SPAM-bots has made it necessary to add the following meaningless question

Please enter the sum of 6 plus 4 then press the button below.


Imported Network for Good Data

Name:
Address:
Donation Date:
Source Website:
Donation Amount:
Donation Type:
Payment Date:
Payment Via:
Donation Status:
Designation:
Dedication:
Contact Email:


© Copyright 1997, 2024, The Fairfield Review Inc., All Rights Reserved.
Document last modified on: 03/19/2024