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Tuesday, 07 February 2012
HOME arrow CONTACT US
DONATION FORM
You may use the form below to inform us that you want to financially support the work of World Partners. Your data will be used confidentially. World Partners has 501(c)3 status from the IRS, qualifying it as a non-profit organization. Your donations are therefore tax deductible.
DONATION FORM
Title:  
Dr. Mr. Mrs.
Ms. Miss
*First name :  
*Last name:  
*Address 1:  
*Address 2:  
*City:  
*State/Province:   *Zip Code:
Country:*  
Phone:*  
E-mail:  
Gender:  
male female
* Indicates required fields
Please send me:  
  General information packet
  World Partners newsletter
  E-mail newsflashes
I would like to:*  
Make a One-Time Donation
Make a Periodic Donation
    For periodic donations, please indicate frequency:
   
    I pledge the following amount:
   
Please designate my gift for:*  
  General Means
  A specific project
   
Please indicate the project:
   
   

Your check can be made payable to World Partners (US) and mailed to:

World Partners (US)
c/o Dan Hargrave, CPA
2610 Potters Road, Suite 204
Virginia Beach, VA 23452

 

   
 
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