Hand In Hand USA

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Balashram Sponsor Form
Hand In Hand USA
Hariharananda Balashram Sponsorship Form		  

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Last/Family Name     First Name  
Address  
City     State     Zip    
Telephone     eMail   

Sponsorship in the name(s) of:(list individual family member or friends names if desired)
 
 
 
 

Payment Method
Choose any one of the following to sponsor a Hariharananda Balashram Child

One Month Sponsorhip for one child
Amount:   
(Payable to 'Hand In Hand USA')
 

Multiple  Month Sponsorhip for one child
Amount:   FILL IN AMOUNT

1 month $ 30.00 7  months $210.00
2 months $60.00 8  months $240.00
3 months $90.00 9  months $270.00
4 months $120.00 10 months $300.00
5 months $150.00 11 months $330.00
6 months $180.00 12 months $360.00

(Payable to 'Hand In Hand USA')

 

One year sponsorship for one child
Amount:   
(Payable to 'Hand In Hand USA')
 

Multiple child sponsorships

No of Children:   
 Amount:           

(Payable to 'Hand In Hand USA')
Mailing Address                                                              
Hand In Hand USA
710 St. Joseph's Drive                                
Oak Brook, Illinois  60523

Hand in Hand USA is a 501 (c) 3 organization

 


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