APU MEF Donation Form INVEST IN A GIRL…AND SHE WILL DO THE REST General Information 1 Mr. 1 Mrs. 1 Ms. Miss 1 Dr. First Name _______________________________ Last Name _______________________________ Company or Organization or Club _________________________________________ Address _________________________________ City ____________________________________ Province/State ____________Country _________ Postal/Zip Code ___________________________ Telephone _______________________________ E-mail __________________________________ 1 Donation Information Amount: $ _______________________________ 1 Sponsor A Girl’s Education 1 I am a new sponsor 1 I am a continuing sponsor for (girl’s name) ____________________________________ 1 Partial Sponsorship, please specify _____ ____________________________________ 1 Donate towards construction of buildings 1 Other designation (please specify)____________ _______________________________________ Donation Type 1 One-time donation 1 Monthly donation to commence this month 1 Yearly donation to commence this month Return form and cheque by mail to: APU c/o Christie Johnson,Foundation APU Malawi Education 650 Pearson College Drive, Victoria PO Box 225 BC, V9C Kelly 4H7 Road 108-800 _______________________________________ Victoria, BC V9B 6J9 How did you hear about us? Rotary Presentation ! Public Presentation ! Existing Supporter ! Family or Friend ! Internet/Website ! Newspaper or Magazine ! Other ____________________________ My Gift is … In Memory ! In Honour ! Name of person ___________________ Your relationship to him/her _________ Occasion for gift (e.g. birthday, Christmas) _______________________ Group or Team Sponsorship If your donation is part of a larger group donation towards sponsoring an APU student, please identify the other members of your group below OR identify the name of one member of your group to act as Group Leader. Group Leader _____________________ OR Name of Group ___________________1 Cheques Payable To: APU Malawi Education Foundation For total annual donations exceeding $25, a tax receipt will be mailed in February of the following year. The APU Malawi Education Foundation respects your privacy. Your personal information will only be used to prepare income tax receipts and keep you informed of the students’ and school’s progress. www.malawigirlsonthemove.com1