“1000 Warm Wishes Quilts” Donation Form

 

First name:  ______________________________     Last name: __________________________

 

Mailing address:  _________________________________________________________________

 

City:  ______________________________________      State:  _________        Zip:  _______

 

E-mail:  _________________________________ Phone  ________________________________

 

I wish to contribute $ ___________ to help the Sichuan Earthquake Survivors. 

 

My contribution includes additional quilt sets ($30 a set) donated in the names of


_______________________________________________________________________________

Make check or money order payable to Malama International, a non-profit 501(c)(3) tax exempt organization. 

 

We guarantee that 100% of your donation will benefit Earthquake Survivors!

 

Please mail the completed form with your donation to:

 

Chinese Cultural Exchange & Homeland Tours

P.O. Box 271333

West Hartford, CT  06127

 

How did you hear about  “1000 Warm Wishes Quilts” project?

_______________________________________________________________________________

 

The Donation Report will list the names of donors. .  If you don’t want your name on the list,

please check here _________ .

 

 

Thank you for caring and your support.

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