Orphan Donor Mail In Form

INSTRUCTIONS - 1. Click on Print Page 2 Click Done. 3 fill out the form. 3. Enclose your check, money order or credit card info and the completed form in an envelope and mail to: Orphans Lifeline International, P.O. Box 1100, Kalispell, MT 59901.

Yes... I would like to pledge the following amount to help change the lives of these orphans...

A monthly donation of $ ____________ ($30 per month cares for one child)

A one time gift of        $ ____________

A(n) _____________(frequency) gift of $___________

Name: ________________________________________________________

Address: ______________________________________________________

City: __________________________ State: ________________________

Zip: _____________   Phone: ________________________

E-mail __________________________________________________(very important for credit card donors)

What motivated you to get involved with Orphans Lifeline?________________________________________

___ Check or money order to Orphan's Lifeline International

___ Bill my Credit Card

____ Visa ______ Mastercard _____ American Express

Card Number ____________________ Expiration Date ____________

3 digit security code_______ (found on back of Visa and mastercard - last 3 numbers / On Amex - 4 numbers, unembossed in upper right on front of card)

Signature _________________________________________________

Orphans Lifeline International ( Lifeline of Hope ) is a Registered Non-Profit Charity. All donations are tax deductible as allowed by law.