Name: _________________________________________________ Address: _______________________________________________ ________________________________________________________ Email Address: _________________________________________ Yes, I want to invest in a healthier world! Please use my gift of $___________ to support global childhood immunizations through [email protected] Check enclosed (made payable to the United Nations Foundation/[email protected]). Please charge my credit card for the amount listed above. (Please circle card type) Visa MasterCard American Express Credit card #: __________________________________________ Exp. Date: ______________________ Security Code: __________ Name on Card: _________________________________________ Please return to: Shot at Life | P.O. Box 96399 | Washington DC 20090-6399 The UN Foundation is a nonprofit 501(c)(3) organization (EIN/tax ID number: 58-2368165). Your donations are fully tax-deductible to the extent allowable by law. United Nations Foundation 1800 Massachusetts Ave. NW, Suite 400 | Washington, DC 20036 Thank you.