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SUBJECT: PEACH Foundation Donor

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Please complete the following Pledge Forms,and send Email to staff@peachfoundationusa.org.

My name is_____________;I am □ Mr.______; □ Ms.______;

I pledge to sponsor:

__________student(s) for three years of junior high school education with an annual contribution of $150/per student;

__________student(s) for three years of high school education with an annual contribution of $300/per student.

__________I would like to sponsor Chinese students;

__________I would like to sponsor Myanmar students;

__________I have no preference.

Students receive 100% of your contributions. We prefer your contribution paid once a year, instead of all three years in the lump sum. No parts of your contribution go to operating expenses unless you specify otherwise.

______I would like to write to my children.

______I am not able to write to my children.

______I can read Chinese;______I can not read Chinese;

If you would like to mentor the children you sponsor, please fill out the mentor agreement separately.

Other contributions:

I would like to send _____children to attend Summer Camps (at US$125 each for one week, including a bedding set of $40)

I would like to donate ______to the "a bowl of Rice" fund for Myanmar orphanage  (amount as you wish.)

I would like to donate ______to the water purifier fund for the schools in Myanmar. (A purifier set costs $1000USD,amount as you wish.)
                
I would like to donate ______to the teachers’ payroll fund for the refugee schools at Mae Sot, Thailand (US$1,800/year per person. amount as you wish.) 
                
I would like to donate ______to the school bus fund for refugee kids at Mae Sot, Thailand. (US$150/year per kid. amount as you wish.)

I would like to donate ______to the Laurice children medical funds (at an average of US$20 per child.)

I would like to donate ______to the Junhui writing funds (amount as you wish.)

I would like to donate ______to scarf and mitten funds (at US$5 per child.)

I would like to donate ______to thermal-pajama funds (at US$5 per child.)

I would like to donate ______to the library funds (at US$20 per library)

I would like to donate ______to the foundation administration funds

I would like to donate ______to the middle and high school students’ living expenses (amount as you wish.)

I would like to donate ______to the college loan funds (amount as you wish.)
                
I would like to donate ______to the teachers training funds (amount as you wish.)

Others (please specify projects) $______________________

Address________________________________________

_______________________________________________

Home Phone _____________ Work Phone ____________

Fax Number ______________E-mail _________________

Profession _______________ Referred by___________

Signature ____________________ Date ______________

Please email to staff@PeachFoundationUSA.org if you want to sponsor children.
Thank you for your support.

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