PLS RETURN THIS FORM IN THE ENVELOPE ENCLOSED (CK PAYABLE TO ANCOP): Enclosed in the amount of $________________ ( ) Cash _ ______________ ( ) Check No. ____________ *************************************************************************************************************** YOUR NAME : _________________________________ E-MAIL ADDRESS : _________________________________ MAILING ADDRESS: _________________________________ Be a part of our mission, support our cause! During our mission trip to the Philippines, we will be distributing the following items below. You may donate the actual item (INKIND DONATION) and give it to Wilfred & Rachelle Narvasa by July 1 @ 4888 Clayton Rd #44, Concord CA 94521. ________________________________ Or we can purchase it for you. Please see cost of each of these items. Thank you for your help! May the Lord bless you a thousand folds... PARTNER'S (DONOR) NAME HYGIENE ITEMS BAGPACK 5 Bars of Soap 4Toothbrush Tooth Paste Deodorant SCHOOL SUPPLIES FLIP FLOPS 4 Notebooks Writing Paper Pencil, Pen RAINCOATS RAINBOOTS (SPECIAL REQUEST OF (WISH LIST OF THOSE PEOPLE WHO THOSE PEOPLE WHO WORKS WORKS IN THE LANDFILL'S RUBBISH TO IN THE LANDFILL'S RUBBISH KEEP THEM SAFE FROM SHARP ITEMS TO KEEP THEM DRY FROM WHILE WORKING FOR THEIR DAILY THE RAIN WHILE WORKING FOOD) TOTAL AMOUNT DUE FOR THEIR DAILY FOOD) WILSON NARVASA MITCHELL NARVASA = $7 EA = $5 EA = $5 EA = $2 EA = $6 EA = $7 EA 3 pcs = $21 5 pcs = $25 5 sets = $25 10 pairs = $20 2 pcs = $12 2 pairs = $14 2 pcs 2 pairs 3 pcs TOTAL AMT $117.00 IN-KIND DONATION