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DONATION FORM
(Print and Fax)

Please click here to complete an online form

(  ) Airline tickets for 2. ______________________________________________________________________________


(  ) Hotel accommodations for 2. ______________________________________________________________________________


(  ) Tour Package. (Please describe)__________________________________________________


______________________________________________________________________________

(  ) Vacation Package (Please describe)__________________________________________________
______________________________________________________________________________
 

(  ) Product, merchandise or service. (Please describe)__________________________________________________
______________________________________________________________________________
 

  ) Others (Please describe________________________________________________________
______________________________________________________________________________

Estimated value of donation US$

Contact Person____________________________

Contact Address_______________________________________________________________

Telephone ____Fax __________________________

Email_______________________________Website_____________________

Signature________________________________________________
 

Fax to 1 267 390 5193

Questions? Email us
 

Contact Information

Telephone
1 512 684 0889
Fax
1 267 390 5193
Postal address
9200 Bayard Pl, Suite 102, Fairfax, VA 22032 USA
Electronic mail
Please click here to send Ana Cheng an email

 

 

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