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Tree Order Form
 

 

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TREE ORDER FORM
    COST:
    1-2 trees - $35 each
    3-6 trees - $29 each
    7-10 trees - $19 each

    Each tree includes:
    Tree Marker with the Honoree’s name
    Certificate of Planting (Unframed. If you want a framed certificate, please add $25 each plus $5 for US postage or $19 for international post)
    Gift Card with your personal message.

    NOTE: We are paying someone in the locality to take care of the trees until they can be left on their own.

No. of Trees ________Amount $________
( ) Please check if you want Certificate of Planting to be framed. (Optional) $25 each. Shipping & Handling: USA - $5 Outside USA $19
 

Full Name and email address of person that will appear on the tree marker

Name______________________________________Email__________________________________
 

Address where Certificate of Planting and Gift Card will be sent

 

______________________________________________

 

_____________________________________________

Your message for the Gift Card_______________________________________________

_______________________________________________________________________________

 

Your name______________________________  

 

Your email____________________________________________________

      total                                           $_________________

     

    type of payment    

    By check. 

    Please make check payable to CIMPA and mail to Asian Leaders Association, 9200 Bayard Pl, Fairfax, Virginia 22032

     

    By Bank transfer. 

     

    Send payment to Navy Federal Credit Union, Vienna, Virginia

    ABA# 2560-7497-4      Account # 1063918 302 

     

    By credit card 

    ( ) American Express   ( ) Visa     ( ) Mastercard 

     

    Number________________________________

     

    Cardholder name___________________________

     

    Expiration date_______________  Amount:  US $____________

     

    Signature______________________________

  FAX TO 1 267 390 5193
Or mail to Asian Leaders Association, 9200 Bayard Pl, Fairfax, Virginia 22032
Thank you for helping. 
 
Your contributions are tax-deductible. Asian Leaders Association is a 501(c)(3) organization
From the IRS determination letter: "....you are exempt from Federal Income Tax under section 501(c)(3) of the Internal Revenue Code. Contributions to you are tax deductible under section 170 of the code. You are also qualified to receive tax deductible bequests, devises, transfers or gifts under section 2055, 2106 or 2522 of the Code..."

 

If you prefer, you can pay online by PayPal. You do not need to open a PayPal account to donate money to this fund. All you need is a credit card number. Just click on this button