FOSTER PARENTS PROGRAM FORM Please select an option Option 1 Foster Parents program for PRIMARY SCHOOL in Pascuales. It costs about 250,00$/year per child I wish to participate for an amount of: 25$_____ 50$_____ 100$_____ 50$_____ 250$______ ____________$ Option 2 Foster Parents program for SECONDARY SCHOOL in Pascuales. It costs about 300,00$/year per child. I wish to participate for an amount of: 25$_____ 50$_____ 100$_____ 150$_____ 300$______ ____________$ Option 3 Foster Parents program for TECHNICAL SCHOOLS in Pascuales. It costs about 400,00$/year per child. I wish to participate for an amount of: 50$_____ 100$_____ 200$_____ 400$______ ____________$ Option 4 Foster Parents program for UNIVERSITY in Guayaquil city. The aid is given as a scholarship going from 500$ to 1000$ I wish to participate for an amount of: 100$_____ 200$_____ 300$_____ 400$_____ 500$_____1000$________________$ I would like to know the NAME_____ and have a PICTURE_____ of the child under my support. ( available for donation of 150 $ or more) Your address : (a receipt for income tax will be sent to this address) First name:__________________________ Name:______________________________ Address:_________________________________________________________________ _________________________________________________________________ Telephone number: (______) ____________ E-mail:______________________________ Signature:_____________________________________ Date: _____________________ Please send a check. to the order of: FONDATION POUR LES ENFANTS DE L'ÉQUATEUR To the following address: FONDATION POUR LES ENFANTS DE L'ÉQUATEUR 4409, St.Hubert St. Montreal, Qué. H2J 2X1 NOTE : 100% of the donations are used to pay the courses at school. The Misericordia Sisters of Montreal are supporting the administration, free of charge. |
