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Donations

Instructions

  • Print this form and then fill it out.

  • Mail To: AARTH
    PO Box 22643
    Seattle, WA, USA 98118

  • Or Fax To: 206.722.8869

  • Please do not send cash.


Your contribution helps us assist even more churches to become community centers for health education and compassion.


Select ONE:
I am submitting my donation by
Check
Money Order
Credit Card
First Name:
Last Name:
Address:
City:
State (US & Canada Only):
Province (International):
Zip or Postal Code:
Country:
Phone:
Evening Phone:
Email:
Credit Card: Visa MasterCard
American Express
Card Number:
Expiration Date: (example: 04/03)
Name as it appears on card:
Donation Amount:
$25 $50 $100
$250 $500 $1000
Other $
Thank You For Your Donation.
African American Reach and Teach is a non-profit, 501(c)(3) organization.

Print Form
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