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Sponsorship Form

East African Center Empowering Women and Children
Student Sponsorship Form

(please print, fill out and mail if you would like to pay by check)

 

Your Name_____________________Phone______________Email_________________

Name of child or children to be sponsored (if applicable):

1.____________________ 2.____________________ 3.____________________

Details
Do you want to receive more information, pictures & correspondence from your child or children as the school year progresses? Yes______ No_____

Would you like your sponsorship to automatically renew year to year? Yes___ No___

Select Your Method of Payment:
Yearly: I would like to sponsor________ student(s) by donating $285 each year for___ year(s).   

Monthly: I would like to sponsor ________student(s) by donating $23.75 each month for __ year(s)

Please Select One:
Check ___ Online___ Credit Card ___ Visa / Mastercard (Circle One)

 

Card Number _________________________________ Exp Date: ____________ Sec Code: __________

Billing / Mailing Address________________________________________________________________

Phone Number______________________________________

 

Payment Form:

If sponsoring by mail, send this form and payment information to EAC at Pox 95703 Seattle, WA 98145. If paying by check or money order, make check out to "East African Center" and enclose payment with payment form.

To pay by phone, call (425) 681-2459.

To sponsor online, CLICK HERE (there is no need to mail in this form if you choose to pay online).


Please feel free to contact us with any questions: 425 -681- 2459