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Written by Dom Derrien
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Tuesday, 22 April 2008 13:46 |
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Please print the simpiflied version of this page using "CAPITAL LETTERS", and send it to Yvon Dupuis as proposed.
Your Information
| First name, Last name: |
__________________________________________ |
| Address: |
__________________________________________ __________________________________________ __________________________________________ |
| City: |
__________________________________________ |
| Postal Code: |
____ ____ |
| Home Phone Number: |
(____) ____ ______ ______ |
| Business/Cell/Alternate Number: |
(____) ____ ______ ______ |
| E-mail: |
__________________________________________ |
Action
I WISH TO MAKE A DONATION FOR THE FOLLOWING AMOUNT $_________. I will send my donation by Cheque or Mailing Order to:
Diku Dilenga, c/o Yvon Dupuis 137 Mont Bleu bvd Gatineau (Qc) J8Z 1K2
I WOULD LIKE MY DONATION TO GO TOWARDS (please circle your selection):
- Supporting the general Diku Dilenga project budget, with a view to fund priority areas, respecting the needs and wishes of the people of the Democratic Republic of Congo.
- Supporting one of the following projects1:
- Penpal programme (pairing students in Canada and the Democratic Republic of Congo, providing stamps, letter writing materials, etc.)
- Providing school materials (notebooks, pencils, chalk, textbooks, etc.)
- Sending needed medical supplies (general medicine, dentistry, etc.)
- Financing microcredit loans
I UNDERSTAND THAT THE RECEIPT PROVIDED for my donation is not tax deductible. Diku Dilenga Canada is not yet recognised as a registered charity. We are, however, in the process of registering the organization. THANK YOU for your generosity.
I WISH TO VOLUNTEER AND HELP Diku Dilenga Canada increase support for Microcredit. Please contact me to discuss how this can be achieved.
ALONG WITH A RECEIPT FOR MY DONATION, I wish to receive additional information about the following Diku Dilenga Project (see list above): _________________________________________________
Signature
Signed at: ___________________________ Date: ___ /___ /_____
Note 1: Projects listed here are the one Diku Dilenga can easily communicate about on its webite http://diku-dilenga.org. Check the website for an up-to-date project list.
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Last Updated on Thursday, 01 May 2008 01:38 |