Donation and Event Form:
Print the form and send into the address below:
“Tickets for Nepal SEEDS annual fundraising dinner. September 10, 2011”
Quantity_______ @ $100.00 Total _______
TOTAL________
Yes, I would love to help the people of Nepal by making a tax deductible contribution to the Nepal SEEDS organization:
$25.00________ $50.00________ $100.00________ $500.00_______Other_________
Name: _________________________________________________________
Address:________________________________________________________
City, State, Zip:__________________________________________________
e-mail:________________________________________________________
I would like to make a gift contribution in the name of:
Name: _________________________________________________________
Address:________________________________________________________
City, State, Zip:__________________________________________________
From:__________________________________________________________
Address:________________________________________________________
(List additional gift recipients names and addresses on the back)
A certificate, enclosed in a handmade Daphne paper card from Nepal, will be sent to each gift contribution recipient.
Check enclosed in the amount of $________
Please make check payable to Nepal SEEDS, 800 Kansas Street, San Francisco, CA. 94107
Or Contact us directly.