Website World Partners Foundation

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Sunday, 05 February 2012

CONTACT FORM

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.

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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