Donate By Mail, Fax or E-mail
1. You may print out the donation form below, fill it out and send it to us via mail.
2. You may print out the donation form, fill it out and fax it to us.
3. You may send us an e-mail and we will contact you with instructions on how to securely send us your payment information.
Upon receiving your donation, we will promptly send you a receipt.
I want to do what I can to support the important work
of the Rachel Foundation for Family Reintegration..
Name_________________________________________________
Address_______________________________________________
City/State/Zip___________________________________________
Country___________________________________________
Phone_________________________________
E-mail_________________________________
If you choose to use your credit card, please give us the following information:
The type of card: Circle One:
MasterCard Visa American Express Discover
Your name as it appears on the card:________________________________
Account Number:______________________________________________
Expiration Date:_______________
Your Signature:________________________________________________
Print out this page and mail (or fax) in this coupon with your gift to the following address:
The Rachel Foundation for Family Reintegration