BRITTANY'S HOPE FOUNDATION HOUSE OF LOVE - CAM RANH ORPHANAGE DONATION FORM
Name Address City State Zip Code Telephone (optional) E-mail address (optional)
I am enclosing:   a check    a money order in the amount of $ ___________ to be used for:
Sponsoring a child Child's Name: (if known) Sponsoring an education Child's Name: (if known)	General donation Playground New well New land	Chickens ($5.00 each) Pigs ($250 each) Water buffalo ($500 each)
Mail this form and your check to: Brittany's Hope Foundation, 1160 N. Market Street, Elizabethtown, PA. Your donation is fully tax-deductible. Brittany's Hope will send a thank you and receipt for tax purposes.