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SUBJECT: PEACH Foundation Donor

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Please complete the following Pledge Forms,and click "send Email to PEACH" to join us!

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) $______________________

1.Please make check payable to: PEACH FOUNDATION,1098 Marlin Avenue,Foster City, CA 94404.

2.QuickPay with Zelle Account: Staff@PeachFoundationUSA.org.
				
3.PayPal Giving Fund (free to PEACH)：Type Peach Foundation, click the one at Foster City and with PEACH logo.
				
4.Regular PayPal account (PayPal charges service fees of 2.1%）: Peach Foundation.
	
Federal Tax ID Number: 91-2155836

Address________________________________________

_______________________________________________

Home Phone _____________ Work Phone ____________

Fax Number ______________E-mail _________________

Profession _______________ Referred by___________

Signature ____________________ Date ______________

Please sign the following agreement if you would like to write to your children:

Mentor Agreement

Serve as a mentor for PEACH Foundation Financial aid Program, I agree to the following:

1. There shall not be any personal financial transactions or agreements or sponsorships between the student and the mentor unless it is recommended by PEACH Foundation.

2. The mentor shall correspond with the assigned student(s) no less than two times per year.

3. The mentor shall provide a report of the student progress to PEACH at the end of the school year, and inform the program director at PEACH of any development concerning the student that the mentor deems significant.

4. The purpose of mentor is to provide guidance appropriate for a developing student interested in academic achievement. Any discussion of a political or religious nature should be avoided.

Signature __________________ Date ______________

Please input the verification code: Not clear, click here to replace.

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