|
(To print this form, click the print button of your browser)
Please make check payable to:
The Philippine Center
Mail to: The Philippine Center
3717 W. Howard Avenue Greenfield, WI 53221
Donation to the Philippine Center
(Federal Tax ID #: 39-1963082)
Name/s: __________________________________________________________________
Address: __________________________________________________________________
__________________________________________________________________________
Phone # (optional): __________________________________________________________
E-mail: ____________________________________________________________________
Amount: $_______________
Message: _________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
| 