SPONSORSHIP FORM

*All The Fields are mandatory

SPONSOR INFORMATION

Name* :

Address*:

City*:

Parish/State*:

Country*:

PostalCode*:

Phone*: (h)

(w)*

(c)*

E-mail*:

SPONSORSHIP INFORMATION*

Program or project you wish to sponsor*

Frequency of your sponsorship*	One time	Monthly
	Weekly	Annually
Amount of Sponsorship*	$
Are you currently a sponsor or donor?*	Yes	No

Where did you hear about our Web site?*

Payment

Kindly contact us if you would rather submit your Sponsorship Form and/or Payment in person or by mail.