Thank you for your support | Full Name | | | Address | | | Phone # | | | Email | |
| - I would like to sponsor | 1 2 3 4 5 6 7 8 9 10 child / Children | | $12 Medical Care | | | $25 Food Allowance | | Scholarship | | | $25 Public | | | $50 Semi-private | | | $75 Private | | | | |
Mode of payment: | | Monthly | | Quarterly | | Semi annual | | Annual |
| - I would Like to make a one time contribution as | | $20 A Friend | | $50 A Supporter | | $100 A Benefactor | | $250 A Co-Sponsor | | | | |
| The total of your donation is: | | $ | | | | Internet transfer fee*: | + | $ | | | | | | |  | | | | | | | | | The total ammount is: | = | $ | | | | | | | | | | | |
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