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Sponsorship Application (U.S./International)

by vedawms — last modified 2006-11-08 12:53

Yes! I want to bring hope to children.

Full Name (Required)

Your Gender (Required)

Male
Female

Your E-Mail Address (Required)

Street Address (Required)

City / State (Required)

Zip / Postal Code

Country (Required)

Phone. (Required)

(Include your country and area code.)

Type of Sponsorship (Required)

I want to be a Child Sponsor ($50 per month)
I want to be sole sponsor of a child ($200 per month)
I want to be a Safe Passage Partner (Any amount per month)
I want to be a Academic Partner ($75 US per month or more)
I want to be a Classroom Partner ($100 US per month or more)

I would like to pay $ (Required)

every: (Required)

Month
3 Months
Year

I will pay by check. (For US Sponsors only.)

I would like to pay with a credit card. (Please contact me for this information.)

I will pay by automatic withdrawal. (Please send me further information. For US Sponsors only.)

I will pay by Paypal.

I will pay to my country's account. (For International Sponsors only.)

Please send me information for Safe Passage's account in:

I have heard about the project from:

Please write any questions, special notes or comments below:

After you click submit, our Sponsorship office will contact you to set up your sponsorship, assign your child, and verify your payment information.

Safe Passage is a tax-exempt 501(C)(3) organization. Donations are tax-deductible as allowed by law. Registered Tax ID# 01-0532835.

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