Become an iMoHR partner for human rights:

_____ Yes, I want to support human rights for all by becoming a member of iMoHR:

              $35 _____      $50 _____      $100 _____

           .  $500 _____    Other _____

 _____Yes, I want to be a founding member of iMoHR.  Please accept my check for:

              $1000  _____      $5000 _____          $10,000 _____

               Other _____

 All contributions are tax-deductible. Please make your check payable to iMoHR, and send to:

iMoHR
United Nations Building, Balboa Park
San Diego, California 92101

Name:       _____________________________________

Address:   _____________________________________

                 _____________________________________

Telephone: _____________________________________

e-mail:       _____________________________________