APU MEF Donation Form - Malawi Girls on the Move

advertisement
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
Download