Make your check payable to Africa USA Foundation, memo "Sinoe County," and mail it with this form to:
Africa USA Foundation · [Street address] · [City, State ZIP]
My gift: $25 $50 $100 $250 $500 $1,000 Other $______
One time Monthly (we will contact you to set it up)
Direct my gift to: Where needed most Wellness Center Kidney care Mobile clinics Other: ______________
In honor of In memory of: ______________________________
My employer will match my gift: ______________________ Keep my gift anonymous
Africa USA Foundation, EIN [to be confirmed]. [Tax-status statement, once confirmed.] You will receive a written receipt.