Yes... I would like to pledge the following
amount to help change the lives of these orphans...
A monthly donation of $ ____________
A one time gift of
$ ____________
Name: ________________________________________________________
Address: ______________________________________________________
City: __________________________ State:
________________________
Zip: _____________ Phone: ________________________
E-mail __________________________________________________(very
important for credit card donors)
___ Check to Lifeline of Hope
A monthly Bank Draft (click here to navigate to our downloadable form at upper portion of that page)
___ Bill my Credit Card
____ Visa ______ Mastercard _____ American
Express
Card Number ____________________ Expiration Date
____________
3 digit security code_______ (found on back of Visa and mastercard - last
3 numbers / On Amex - 4 numbers, unembossed in upper right on front of card)
Signature _________________________________________________
Lifeline of Hope is a Registered Non-Profit Charity.
All donations are tax deductible.
