American Friends of Belize
Last Name (print) ______________________________ First Name ________________________________
Street Address _________________________________________________________________________
City _____________________________________ State ___________ Zip Code ____________________
Donation Amount
$10,000 $5,000 $2,500 $1,000 $500 $250 $100 $50 Other $______________
Payment
Enclosed is my check payable to "American Friends of Belize" for $_____________________
Credit Card: (circle one) Master Card Visa Amount: $_________________________
Card number: ___________________________________________ Expiration Date__________
Name on Card______________________________________________
Signature__________________________________________________
All credit cards will be processed through JustGive.org.
Use of Donation (circle one)
TIDE ACES Humanitarian Aid General Expenses
Please Send Form To:
American Friends of Belize, P.O. Box 850053, Mobile, AL 36685-0053. A receipt for your donation will be provided in the return mail.
Questions? Please email our office: info ["at" symbol] americanfriendsofbelize.org
The American Friends of Belize is a charitable organization under Section 501(c)(3) of the Internal Revenue Service of the United States. U.S. Federal Tax I.D. #36-4517663.
Photo credits: top banner - ACES and D. Sturm