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All Happy Children puts at his disposal this sure form, in order that his donation online comes in direct and effective form to the boys most needed from America.

Thank you for the support with your donation.

Personal information

Name: __________________________________

Last Name: ______________________________

E-mail: _________________________________

Phone Number: __________________________

Fax: ___________________________________

Address: _______________________________

City: __________________________________

State: _________________________________

Zip Code:______________________________

Country: _______________________________

Donation amount for one time: ________________________

Monthly donation amount: ___________________________


For his reference of conversion of the currency of his country, we put at his disposal the updated quote provided worldwide. The total of his donation will be expressed in Dollars. To verify to what quote it is equivalent in the currency of his country, click here.

Information of the credit card

Name: __________________________
(as figure in the card)
Card Number: ___________________________
Number of card: ______________________
Expiration date: ___________________________
Safety code: _______________________
(They are 3 digits that are in the back of his card of credit, or 4 in the front if the same one is American Express)
Require the information highlighted in bold face.

Checks or Money do it addressed to All Happy Children

__________________

 

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