Please print out this form and mail it along with your check to:

Buffalo Free-Net/WNYLRC
4455 Genesee Street
P.O. Box 400
Buffalo, NY 14225-0400

[ ] Yes, I want to help The Buffalo Free-Net with my donation of:
[ ] $25  [ ] $50  Other - $__________
Name: ______________________________________________________
email address: _____________________________________________
Organization: ______________________________________________ (if applicable)
BFN User Name or website address: __________________________________________

Thank you,
The Buffalo Free-Net
Funding Committee