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APPLICATION
FORM
All donations are tax deductible in Canada and the USA
Business
Number in Canada 11914 1943 RR0001
Charitable Registration Number in the USA 98-600-4051
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Mr./Mrs./Miss/Ms.
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Address
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City
Prov/State
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Postal/Zip
Code
Country
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Phone Fax
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E-Mail
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Yes, here’s my
donation! |
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FAMILY TO FAMILY |
Ongoing
monthly assistance: $180/yr. per family
($15/month). A minimum of $45.00 (3 months) support is needed
to start assistance
$_______
Burse Fund: $5,000 one time donation to support
poor families for 20 years $_______
6 Year Donation:
$1,080 to support one family for 6
years
$_______
Total
$_______ |
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FAMILY &
COMMUNITY DEVELOPMENT |
Financial
assistance for our Community Programs to enable poor families
to participate in various project areas including Livelihood
Initiatives, Drinking Water, Housing, Education, Gender Equity,
Capacity Building, Social Action, Health and the
Environment.
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$_______ |
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Yes, I would like to help with your
operational costs to ensure 100% of all donations received continues
to reach the poor.
$
______
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Address
your cheque/check or money order to:
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Save a Family Plan
P. O. Box
3622
London ON Canada
N6A 4L4 |
Save A Family Plan
P. O. Box 611832
Port Huron MI USA
48061-1832
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VISA or MasterCard |
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Card Holder
Expiry Date
(MM/YY) |
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Number |
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Automatic
Debit available in Canada
(please contact us if you have any questions)
Telephone:
1-519-672-1115 Fax: 1-519-672-6379
E-Mail: safpinfo@safp.org
Website: www safp.org
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