Note that it is not necessary to have a PayPal account in order to pay on-line. PayPal will accept most credit cards.
Fields marked with an * are required
Number of Reservations* Select Option 0 ~ $0 1 ~ $100 2 ~ $200 3 ~ $300 4 ~ $400 5 ~ $500
Additional Donation Amount*
First Name*
Last Name*
Address 1*
Address 2
City*
State* Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code*
Phone Number*
Email Address*
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If you do not want to make the reservation On-Line, then download the 'Reservation Form' by clicking here.
Complete the form and mail it with payment (make the check out to 'Danish American Language Foundation') to:
Danish American Language Foundation c/o Peter Ørum P.O. Box 6005 St. Charles, IL 60174 Phone: 847-742-1790 Email: petero@dalf.us