Nepalese Youth Opportunity Foundation
 


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Donation Form


Please print out this page, fill in the appropriate blanks and mail it to us at the following address:

The Nepalese Youth Opportunity Foundation
3030 Bridgeway
Suite 123
Sausalito, CA 94965
USA

or fax to our office: 415-331-4027


Yes, I want to make a difference where my donation will go far. Here is my contribution to help needy children in Nepal.

Enclosed is my gift of:
$50 ______ $100 ______ $250 ______
$500 ______ $1,000 ______ Other $______
If you would like a video that presents two short, professional documentaries on NYOF's work, please add $15 to your donation (or $25 for donors outside the U.S.).

Total donation: ____________

Name: _______________________________________
Street Address: _______________________________________
City: _______________________________________
State: _______________________________________
Zip Code: _______________________________________
Telephone: _______________________________________
E-mail: _______________________________________
Your credit card information must exactly match your billing information.

Payment By Credit Card
Please charge my account at
Card No.: _______________________________________
Expiration date: _______________________________________
Visa _____ Mastercard _____
One time only ______ Quarterly ______
Semi-annually ______ Annually ______

Total charge to card: _________
Name on card: _______________________________________
Signature: _______________________________________

We will be in touch to thank you and keep you informed about NYOF's work.

Contributions Are Tax Deductible