|
I would like
to donate to the
International Children's Heart Fund.
Company/Practice Name (if applicable)
Name
Address
Address 2
City
State Zip
Daytime Phone
Number
E-Mail Return Address |
|
|
Our
Address:
International Children's Heart Fund
17 Shamrock Street
Worcester, MA 01605 |
I am sending a
gift of
$10.00
$20.00
$50.00
$100.00
$
Enclosed is
my Employer's matching
contribution form. |
International
Children's Heart Fund is a full non-profit 501(c) 3 status
organization Tax ID# 43-1260030.
Your 100 % Tax-deductible donations are greatly appreciated, and
enables ICHF to continue its mission through its
programs, activities and education. All donations will go
directly to ICHF.
How did you
hear about ICHF?
Relatives
Friend
Radio/TV
Web / Search
Other
Please Specify Web or Other
Other ways you
can help ICHF.
Please contact me to discuss what I can do to contribute.
I
would like to volunteer in the fund-raising
I
would like to be considered for a volunteer position on a medical
mission team trip. |
