Donation Form

YES, I’d like to help with …

 Food for Kids Back Pack Program

        ____    $ ____ toward school sponsorship

        ____    $5,000 to sponsor one school for one year

Thanksgiving Basket Program

        ____    $50 for a family basket

Wool Blankets

        ____    $25 for a new wool-blend blanket

Nursing Support Program

  Scholarships …

        ____    $500            ____    $1,000

        ____    $2,000          ____     $5,000

  Nurse Mentor Program …

        ____    $ ______ contribution

Collections

____ Contact me about how my business, organization, or school can participate in  collections of needed items for schools.

Name                                                                 

Address                                                             

Phone                                                                

Email                                                                 

Please make checks payable to: Americans for Native Americans

Please return completed form to:

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Date this page was last edited: 10/13/2008