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Donation FormAmerican 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 Liberty Children's Home 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. |
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| Photo credits: Top banner: ACES and D. Sturm | |
Copyright © 2003-2010 American Friends of Belize, a 501(c)(3) organization. All rights reserved.