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Back
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: |
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| $50 |
______ |
$100 |
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$250 |
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| $500 |
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$1,000 |
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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.).
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| Total donation: |
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| Name: |
_______________________________________ |
| Street Address: |
_______________________________________ |
| City: |
_______________________________________ |
| State: |
_______________________________________ |
| Zip Code: |
_______________________________________ |
| Telephone: |
_______________________________________ |
| E-mail: |
_______________________________________ |
| Your credit card information must exactly match your billing information. |
| Payment By Credit Card |
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| Please charge my account at |
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| Card No.: |
_______________________________________ |
| Expiration date: |
_______________________________________ |
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Visa _____ Mastercard _____ |
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| One time only |
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Quarterly |
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| Semi-annually |
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Annually |
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| 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
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