YES
[pic][pic]
-----------------------
VNHELP Form – 05.2014
VNHELP
DONATION FORM
YES! I would like to support VNHELP
Enclosed is my gift of:
• $25 to feed a hungry child for a month
• $50 to sponsor a free cataract surgery for a poor patient
• $300 to provide scholarship for a low-income university student
• $300 to sponsor an orphan for a year
• $500 to connect 10 families to a clean water source
• $2,000 to install a water filtration system at a primary school
• $4,000 to provide furniture for a kindergarten
• $35,000 to build a new school (with a VNHELP matching fund).
• Other: _____________________________________________________________
Name: ___________________________________________________________________
Address: _________________________________________________________________
City: _____________________________________ State/Zip: _____________________
Telephone: __________________________ Email: ____________________________
Payment Method
• Check [pic] Credit Card [pic] Cash
If paying by credit card, please provide your credit card information:
• VISA [pic] Master Card
Card Number: ____________________________________________________________
Security Code: _______________________ Expiration Date: ____________________
Signature: __________________________________ Date signed: ________________
Additional Comments:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
[pic]
Please make checks payable to:
VNHELP
500 E. Calaveras
Blvd. Suite #235
Milpitas 95035
Contributions are tax-deductible as permitted by law. VNHELP is classified as 501(c)(3) by the IRS. Tax ID: 94-3169584
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- yes that works for me
- wyoming access yes program
- speech therapy yes no questions
- types of yes no questions
- basic yes no questions
- simple yes no questions for adults
- yes or no questions for kids
- hierarchy of yes no questions
- access yes wyoming
- simple yes no questions
- complex yes no questions speech
- yes no questions for aphasia